HomeMy WebLinkAboutHomestead_Logsdon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER
Bryceann Cutsinder
Preparer of the Sales Disclosure Form Title
226 W. Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 4767.0 812-386-1687 bryceann.btiemw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Jacqueline Ann Fulton Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
1605 S Main St
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a I I mplete as require by v,and 's prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
dial / �6Z
Si •tyre of-e er Signature of Seller
tar uelin- •nn Fulton
'rioted Name of Seller Sian Date EMM/OD/TA Printed Name of Seller �r aq�efl;IMM/DD/YlY1'1
F.BUYER S)/GRANTE4S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITE I PP �I■/p�1 ,/gBIV�
mil Sue Lo sdon
.. ars on conveyance document Buyer 2-Name as appears on conveyance dacurJ gfq 11`L 20 201/
329 S. 5th.Aft. 11
Address(Number and Street) Address(Number and Street) ^ , -
Princeton, IN 47670 ll
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION rYES NO I NDITION
0 ❑ 1.Will this property be the buyer's primary r F ❑ 3. Homestead
residence? Provide complete address of primary • I% •. . . - nergy Heating/Cooling System
residence,including county:
1605 S Main St ❑ IN 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
❑ Z 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)
A6 -11- -/8 - 3 °o - ao a .3 95/-oA8
City.State ZIP Code County
Primary property owner contact name E-mail