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HomeMy WebLinkAboutHomestead_Jorden Jr INDIANA SALES DISCLOSURE FORM SDF ID: 26 - 17 1101900 Page 2 D.PREPAREIr_I'. Lilt-. _. _ - -. . - -- --- - - - - --- - - Jay D.Walden Attorney at Law Preparer of the Sales Disclosure Form Title 202 E. North Street Law Office of Jay D.Walden Address(Number and Street)' Company Grayville, IL 62844 618-375-2611 jwalden@jaywaldenlaw.com @jaywaldenlaw.com City,State,and ZIP Code Telephone Number E-mail ;E:SELLER(S)%GRANTOR($)._____ -__ __________ - - -- - ---- -- -- --- - - ._ ------ -- -- James T.Czoer Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document 650 E. 1025 S. Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 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 uir ,-and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". j�namre of5 Signature of Seller iaames T.C oer ft/Air ,C-,.7G/j Printed Name of Seller Sign Date(MM/DD/1171 Printed Name of Seller Sign Date(MM/a0/YYYYI _F,:.BUYER(S)/GRANTEE(S)_APPLICATION(FOR PROPERTY TAX,DEDUCTIONS-IDENTIFY ALL ITEMSLTHAT-APPLY- _ _ __ Mark W.Jorden, Jr. Kathryn Jorden Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 738 E,State m erandS 738 re State Street �ILE� Address(Number and Street) Address(Number and Street) Princeton, IN 47639 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT PLY: YES NO CONDITION YES NO CONDITION 1.Will this roe be the buyer's primary GOON COUNTY AUDITOR © ❑ property rt3 Y P ry ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1589 E.Warrenton Road ❑ © 5.Wind Power Device Address(Number and Street) ❑ p 6.Hydroelectric Power Device Haubstadt, IN 47639 26 ❑ 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 ❑ © 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.) -J,({.��j Address(Number and Street) ' /3- hO 3['I V"1 Mark W.Jorden,Jr. �(p-q�3��' -(JEIa(JJ City,State ZIP Cade County Primary property owner contact name E-mail