HomeMy WebLinkAboutHomestead_Matthews (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Bryceann Cutsincier
Preparer of the Sales Disclosure Form Title
226 W. Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 samantha.btiemw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
IF.SELLER(S)/GRANTOR(S)L.f.:Itlillr2;111.1:1 ‘.1_.-.11.)-71..7..C #111-.4 iff a- _1'1:. ±111't:2__'''..g.L_T:r77.1.. '-rt
I arty S Matthews Rachel D Matthews
SdIer I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
280 F Old Petersburg Rd 280 F Old Petersburg Rd
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complet- as required by law,and is prepared in accordance wi4i IC 6-1.1-5, ,"Real Property Sales Disclosure Act".
... ,
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Signat'e of Seller Signature of Seller
I arry S Matthews 4- ' ve, Rachel D Matthews A0
Printed Name of Seller Sian Date CAM/0 0 A'nil Printed Name of Seller Sian Date 001IDD/YYYY1
_F.,BUYEKS)/GRANTEE(S),7-:APPLICATION;FORTPITO-PERTY:TAX'DEDUOTIONS=_IDENTIFYIALIATEMS5HAT.APPLY:--__
Larry A Matthews Christina J. Matthews
Buyer I-None as appears on conveyance document Buyer 2-Name as appears on conveyance document ...
525 S. Hall St. 525 S. Hall St.
Address(Number and Street) Address(Number and Street) -4., 41
Princeton, IN 47670 Princeton IN 47670 iO4 "7-
, • AN;
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.0/,
YES NO CONDITION YES NO CONDITION `14./y- -
21
[1 1.Will this property be the buyer's primary R' 0 3.Homestead le,„,
(0),
residence? Provide complete address of primary 0 g 4.Solar Energy Heating/Cooling System (3,9
. (;_fl e_re5den.ce,itAluding county' .
A 0 L's i-v PetEr_ct3vkg ICI El 12 S.Wind Power Device
\pin,(Number and Streit) D g 6.Hydroelectric Power Device
a
lk-d k 11111 ne)7 D Gibson El Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code ) County
D INI 8. Is this property a residential rental property?
12 0 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 (0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
incIddthe county: below. Please see instructions for more information.
W ss 6 t-tkut S -r" Not available in all counties.)
(Ribber tohSa j 4:765.7 o Aosz 4 or
6 - O.i"--i/-don-610Q. 2/4a.,2
City,State ZIP Code
I County
Primary property owner contact name E-mail