HomeMy WebLinkAboutHomestead_Bartell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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D.PREPARER[i^_ ..'_.n_: �- ,r .. :: a •. .: .:
Bryceann Cutsineer
Preparer of the Sales Disclosure Form Title
226 W.Broadway St. Broadway Title. Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687
City,State and ZIP Code Telephone Number E-mail
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...
Jerome Flners
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5024 F SR 65
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
an complete as re ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
,Jerome Elpers — 2) - / 4
Printed Name of Seller Sign Dote(MM/DD/Y)Yl Printed Name of Seller Sign Date(MM/DD/YYY1'I
F:BUYERS)/GRANTEE(Sy:APPLICATION FOR`PROPERTY•TAX DEDUCTIONS-'IDENTIFY ALL ITEMS THAT APPLY . •
Knee'Gal Barte] 1
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1766 Dunlap Dr
Address(Number and Street) Address(Number and Street)
IDENTIFY ALL OF THOSE THA4 MELT' 3 2016 Ill
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Ene " • / .4� 5' tem
residence,including county: • • , • SUITOR
617 N Main St ❑ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑
tg
MI 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 ❑ 0 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: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
G_ I n - ^ - loo- Do i. X gg _Oa g
City,State ZIP Code County
Primary property owner contact name E-mail