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HomeMy WebLinkAboutHomestead_Anderson (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. P.REPARER- — — 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 bti(ahmw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E:SELLERS)/GRANTOR(S)17:77' =— - .— - •--- - .- _ C-' _ - _ i- William A Folsom .Ir Linda L Folsom Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4195 S 700 W 4195 S 700 W Address(Number and Street) Address(Number and Street) Owensville IN 47665 Owensville IN 47665 Under penalties of perjury, t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a d as requir by law,and is prepared in accordance with IC/1.1-S.5,"Rea Pro.erty Sales Disclosure Act". P (/� "-• AI L . r `/u. _I_• al Signature of Seller 'S oture of Seller q William A Folsom7lr 9116 .'t —/o/ 7 Linda L Folsom " S r_ Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/ITYI) laBU.YER(S)/GRANTEE(S)i J•AP.PL•ICATIONI FORP.ROPERTiY_TAX.DEDUETIONS_IDEN,TIFY T T ITr Y ___ _ ___,__J Jerrad L.Anderson _-/ Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document 6891 W 450 5 SFp 1 5 71117 Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY Al I nF TMncr THAT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary 7] © 4. Solar Energy Heating/Cooling System residence,including county: 6891 W 450 S ❑ NI S.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Owensville,IN 47665 _ Gibson ❑ 7 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2. Does the buyer have a homestead in Indiana to be ❑ B• Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 171 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) /)(/ (/ ,rs (� V^1 0-- -36)-(1o0-0U 83a -o,11 City,State ZIP Code County Primary property owner contact name E-mail