HomeMy WebLinkAboutHomestead_Shade INDIANA SALES DISCLOSURE FORM SDI;ID: Page 2
D.PREPARER
Bryceann 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 btir@mw.twcbc.com
City,State.and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Andrew M Friedrich
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1062 N Main St
Address(Number and Street) Address(Number and Street)
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 com i ete as required b ,and is epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Ckture of Seller I�t1 I Signature of Seller
Andrew M Friedrich 2— 1 1—`
Printed Name of Seller Sian Dare(MM/DDITYY) Panted Name of Seller �1 ggg Sign Date(XM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY qty lit:14 4: '
-Christopher Shade \\ on( ^-+yance document Buyer 2-Name as appears on conveyance documen_t
204 N.5th Ave. FEB 2 0 1017
Address(Number and Street) 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.
YES NO CONDITION YES NO COND)TION
0 ❑ 1.Will this property be the buyer's primary / U ❑ 3.Homestead
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 17 5.Wind Power Device
1062 N Main St
Address(Number and Street) ❑ E 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device
C,rv,.State ZIP Code County
❑ Q 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)
a26 • /2 - ° & - 3001 -0oe2. 8-30 -Q1z?
City.State ZIP Code County
Primary property owner contact name E-mail
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