HomeMy WebLinkAboutHomestead_Lewis (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Bryceann Cutsincier
Prepares of the Sales Disclosure Form Title
226 W.Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 btiemw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
•
E.SELLER(S)/GRANTOR(S) -
Cathy M Johnson .Jeffry C Johnson
Seller)-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1474 N Old US Hwy 41 1474 N Old US Hwy 41
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 requi by law,and is prepared in accordance with IC 6-1.1-5.5,"Rea roperty Sales Disclosure Act".
CetkiRd ii . .
Signature of Sell n rje of St C.-Cathy M.John n //-50 i--A, iii-• min •I 0 ,
Printed Name of Seller Sian Date(MAW WriTY) Printed Name of Seller Sion Date(MMMDfirrr)
F.BUYEII(SVGRANTEE(S) APPLIGATIONYOR■PROPERTY-TAX.DEDUCTIONS!iiIDENTIFY.ALLNITEMS?THATAPAY.272-±.--,...,;:t -1__—_ _
Lisa Lewis
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance documen t
205 S.Polk St.
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFYALL OF THOSE THArAil5LY.
ll_
YES NO CONDITION YES NO CONDITWiropy I ee,,,,,
.c,
0 0 1.Will this property be the buyer's primary 171 0 3.Homestegtio -
0 .
residence? Provide complete address of primary D IZ 4.Solar Energy :,:v7f,;•,-. ing System
residence,including county:
ID lz 5.Wind Power Device*/
1474 N Old US Hwy 41 Oh,„
Address(Number and Street) D 0 6.Hydroelectric Power Deg%
Princeton,IN 47670 Gibson D 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
2.Does the buyer have a homestead in Indiana to be 0 8.
D 1s this property a residential rental property?
U Z
vacated for this residence? If yes,provide D 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) a 4,...// _O f Az co_3 7R 0 Q 7
City,State ZIP Code County
Primary property owner contact name E-mail