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HomeMy WebLinkAboutHomestead_Graham INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 7±. =7-7:7-- Leon C.Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Sweet) Company Princeton, IN 47670 (812) 386-1687 Ciry,State and ZIP Code Telephone Number E-moil E.SEI EER(S)%GRANT.OR(S)2._ _ `F _'•s:?_irrt1 7;;;^=2::-r •y ' . • 1 > :.- `,EMEL 47:717— - Chase Goldhach Kimhedee A Goldbach Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1808 Cottonwood Drive 1808 Cottonwood Drive Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 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, o 5.5,"Real roperrty Sales Disclosure Act". 1 p Signature of Seller Signature of Seller Chase Goldharh /6-S-lep Kimberlee A Goldbach p IS I i c0 Printed Name of Seller Sian Date(M.M/DO/YYYY) Printed Name of Seller Sian Date FMM/DD/YYY11 F!.BU,YER[S)/GRANTEE(S),_APP,LICATIONtF,OR PROPERTYtTAX;DEDUCTIONSEIDENTIFYA[a;ITEMSTHAT'APP;YfW�'' C77_ Justin R. Graham ) �l t Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document - // 527 East 150 South - Address(Number and Sweet) Address(Number and Street) THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.00/2 ‘At t,NO CONDITION I YES NO CONDITION ,QU ❑ ❑ 1.Will this property be the buyer's primary 2 ❑ 3.Homestead O7TpR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: • 527 East 150 South ❑ NI 5.Wind Power Device Address(Number and Street) ❑ 2 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 ❑ 2 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. 3120 East Top Hat Road Not available in all counties.) Address(Number and Sweet) Princeton,IN 47670 Gibson d -/I, 010-/CO- See, i/p%- 6A 9 City,State ZIP Code County Primary property owner contact name E-mail