HomeMy WebLinkAboutHomestead_Youngblood INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER I
Brvceann Cutsinoer
Preparer of the Sales Disclosure Form Tide
226 W.Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 samantha.bliemw.twcbc.com
Ciry.State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Joshua Jacob Miller Melissa N Miller
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1447 E Indian Creek Fst 1447 E Indian Creek Est
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 complete as required by law/and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Sell; r / /a/ Sig entre of Seller
Joshua Jacob Miller 7/ I��6 Melissa N Miller Ir \
Printed Name of Seller Sign 0 te( M/DD/YYYI) Printed Name of Seller Sign Date IMM/DD/YYYY)
F.BUYER(SV GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT T PPLY i
Darren Youngblood Amanda Youngblood
pgd�, E D
Buye rINarTSPPBgFCR6n conveyance document Buyer 2-Name as appears on mnveya ocu
2110 Ashton Court Aot.28 2110 Ashton Court Aot.28
Address(Number and Street) Address(Number and Street) JUL 5 2016
Princeton, IN 47670 Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Nomgy
IZI ❑ -1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of prima TgY—neating/Cooling System
residence,including county: ❑ 171 5.Wind Power Device
1447E Indian Creek Est
Address(Number and Street) ❑ 171 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
Li 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ gi 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: •- • • t•-r • '• ctions for more information.
Not available in all counties.
Address(Number and Street)
A -f4 -09 - /oo -ooy, 304, -0.17
City.State ZIP Code County
_.. ..... •, ownerronract name