Loading...
HomeMy WebLinkAboutHomestead_Cutsinger INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:.PREPARERt_ - A Leon C. Stone President Preparer of the Sales Disclosure Form Tide 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 _ (812)386-1687 City,State,and ZIP Code Telephone Number E-mail !Es:SEGLER(S)'/,GRANTOR(S)_ .-,w, -- — . _ - . , . . VS_7. , Amy M McConnell Seller 1-Name as appears on conveyance document Seller 2'Name as appears an conveyance document 1837 Outer I ake Road 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 ete as, equrred r w,and i repared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". PA Signature ofSelle D� O I �,S j Signature of Seller Amy M McCo ell Printed Name of Seller Sian to(MM/DD/Ym') Printed Name of Seller Sian Date(MM/DD/YYIT) Er_BUYER(S)%G1.11TEE(S) APPEIG ATION_EOWPROPERT:Y(TAXTDEDUCTIONS_IDENTIFYALLr;ITEMS'.THATAP((RL.Y - , Tom E Cutsinger ��ED p Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an convey do l���JJJL 1837 Outer Lake Road Address(Number and Street) Address(Number and Street) AU() 11 ZU1/ Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION yi ❑ 1.Will this property be the buyer's primary II ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device 1837 Outer Lake Road Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 17l 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 ❑ 1Z1 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 Caunry a6 ti -as-3oa-e .1 ?a- Primary property owner contact name E-mail