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HomeMy WebLinkAboutHomestead_Cooper INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Brian K.Mahoney Attorney Preparer of the Sales Disclosure Form Tide 822 Main Street,P.O. Box 176 Mahoney Law Office Address(Number and Street) Company Petersburg, IN 47567 812 354 8121 mahoneylaw(anwcable.net City;State and ZIP Code Telephone Number E-mail E..SELL'ER(S)/GRANTOR(S)' __ . - Darrell R Satterfield Bonnie R Satterfield Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5114SSt Rd 61 5114SSt Rd 61 Address(Number and Street) Address(Number and Street) Winslow.IN 47598 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 Act". ` Signature of Seller Signature of Seller Farrell R Satterfield g"-a5--/(p Bonnie R Satterfield 8"a^5--,Koi Printed Name of Seller Sian Date(MM/Db/YrrY) Printed Name of Seller Sign Date(MM/DD/YYYY) F.BUYER(S)/GRANTEE(S) •.APPLICATION,FOR•PROPERTY TAX.DEDUCTIONS-.IDENTIFY ALL I T -AP ! -- k Crystal S.Cooper ,,A @pp!! -----l4 tom =conveyance document Buyer 2-Name as appears on conveyance documen 704 W School Street p 9 C Address(Number and Street) Address(Number and Street) SE 9 ZQjp Francisco, IN 47649 —� THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION /....--YES NU Cut. Fl ❑ 1.Will this property be the buyer's primary _ 0 ❑ 3.Homestead residence? Provide complete address of prima ❑ IN 4.Solar Energy Heating/Cooling System residence,including county: ❑ S.Wind Power Device 704 W School Street Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ SI 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 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) Q c City State LP lode County �—/ -I / – do/_DOD• /O 7 _ 0O`s Primary property owner contact name E-mail