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HomeMy WebLinkAboutHomestead_Heldt (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 .. Brvceann Cutsinger Preparer of the Sales Disclosure Farm Title 226 W. Broadway Broadway Title. Inc. Addreis(Number and Street) Company Princeton. IN 47670 812-386-1687 bryceann.btimw.twcbc.com Ciry,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) :. Percy G Power Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1020 S Seminary St Address(Number and Street) Address INamhor and.Street) Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and ct�tplete_as r ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signakrree S, eller V v Signature of Seller �/�// Percy G Power . Printed Name of Seller Sian Date(M.4/00/YYYY) Printed Name or Seller Sian Date VMM/DO/YYYY) F.-BUYER(S)/GRANTEE(S)'APPLICATION,FOR PROPERTY TAX DEDUCTIONS''IDENTIFY ALL ITEMS Fe�I,Y:, :* ; ;, __ Jason L. HeidTEED. - $��j Buyer I-Name as appears on conveyance document Buyer 2-Nome as appears on conveyance document 244 N. CR700 W. MAY 102017 Address(Number and Street) Address(Number and Street) Petersburg. IN 47567 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 NO CONDITION 0 ❑ 1.Will this property be the buyer's primary ❑ rg 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN 5,Wind Power Device , • 1020 S Seminary Address(Number and Street) ❑ jZj 6. Hydroelectric Power Device , Princeton. IN 47670 Gibson o E 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 ❑ Z 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.) Addre>s(Number and Street) City,State ZIP Code County a- 12-18-dpi-001. 1 g2 -Dag Primary property owner contact name E-mail