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HomeMy WebLinkAboutHomestead_Hill (19) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREPARERL__x : . Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 bti(&mw.twbcb.com City.State,and ZIP Code Telephone Number E-mail • ra SELLER(S)`/GRAN:TOR(S), — — _ —Michael R Owens Seller I.Name as appears on conveyance document Seller 2-Name as appears on conveyance document 602 Kennedy Drive 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 0 41-. )t-)Aa- Signature of Seller Signature of Seller Michael R Owens o(c/lg/'Zb17 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name ofSeller Sian Date(M.N/DD/YYYY) IF.,BUYER(S)/GRANTEE(ScAPPLICATIONi EORIP,ROP,ERTYrTAX.DERUCTIONS_IDENTIEY(ALL.IT AP ) Garren Hill Kimberl y Hill l R RJ �� Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 516 West Pinkney Street 516 West Pinkney Street JUN 2 1 2017 -Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLE YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: - 602 Kennedy Drive ❑ TI 5.Wind Power Device - Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2. Does the buyer have a homestead in Indiana to be ❑ 19 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) City,State ZIP code County � g-ao3-D©i. UP)—0 Primary property owner contact name E-mail