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HomeMy WebLinkAboutHomestead_Schafer (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - ' - -,-�__ s r. .'3C.: ' -` .-:.-tea - ;1 "—_ Brvceann Cutsinger Preparer of the Sales Disclosure Form Title 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton,IN 47670 812-386-1687 bti(a�mw.twcbc.com City State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Thomas Farl Blanton Deborah I ynn Blanton Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3977 F Lake Road 3977 E I ake Road Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 • Under penalties of perjury,1 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". �0 - Cr rte -i is-or/ - aoic sxL/m—>— ma. ._ 4 Signature of Seller Signature of Seller Thomas Earl Blanton Deborah I ynn Blanton /2-.39 - 2 0/ 6 Printed Name of Seller Sian Date(MM/DDfn'r) Printed Name of Seller Sian Date(MM/DD/Y1Y1) .. • Ell -°: b.TEEM-APPLICATION FOR BROPERTY;TAX DE/DUC��-.~>a..iF1\\%ALC ITEMS THAT AP • ,j p, i -:{- Kevin M.Schafer Kimberly S.Schafer 1 __ Buyer I-Name ors on conveyance document Buyer 2-M1'ame as appears(conveyance document NC d 1799NSR 65 1799NSR 65 4 . 't- ,'. Address(Number and Street) Address(Number and Street) Gl <e^ -.�.4'. THE SALES DISC LOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY)" !' YES NO CONDITION YES NO CONDITION GQ O ❑ 1.Will this property be the buyer's primary 4 0 ❑ 3.Homestead .2., er residence? Provide complete address of primary _5■17% • . - - - - gy Heating/Cooling System residence,including county: ❑ Fl 5.Wind Power Device 3977 E I ake Road Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson NEll g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County - ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s 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) ,-,//j �j /y/�/� C- 0° County '-9 Jd /7 �00- OM ©f City,State ZIP Code Primary property owner contact name E-mail