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HomeMy WebLinkAboutHomestead_Bledsoe INDIANA SALES DISCLOSURE FORM SDF ID: _ _ Page 2 "D PREPAi ERiS twq� . �:TiSrn Ci t:x .:"LA Mr .":::...".._rs. <.'..:.b s..z' ir:.-... . _ S,.• _ _- _ , . Patti Kolb Closing Manaoer Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton,IN 47670 812-386-1687 natti.btiOmw.twcbc.com City.State,and ZIP Code Telephone Number E-mail iEtSELLER(S)/GRAN.TOR(S) V felSV Y ?±atEag--:;:f.gc. c-�`acgi- .51 _'=v St ,;:e5a ii "l? s. ,`:..-3-`...% C A K Partnership I P Seller 1'Nome as appears on conveyance document Seller 2-Nomeos appears on conveyance document 5444 F Indiana St 4344 Address(Number and Street) Address(Number and Street) Under penalties of p ury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a Sd coo Signature as r red by law,and is pr red in accordance with IC 6-1.1e -5.5 ,"Real Property Sales Disclosure Act". . 1 .11 P / t% • Printed Name aTSeller Skin Do e l.N1/ OMIT) Primed Nemec/Seller Sian Date cnuvDD/YYYI'I rF=..BUYER(Sf/GRAN:TE. ,Eli(CATION)EORFPROP-ERTY.TAX?DEDUCTIONS; IDENTIFY-'ACL-+ITEMS.THAT?APPL}'c G-r.l. BI-. e Trudy A Bledsoe Buyer I.Name asap an on conveyance document Buyer 2-Name as appears on conveyance dacu eent 402 Add a Sinclair end 402 E sNum Sinclair anSt d �[ l�� Address(Number end Street) Address(Number crd Srrmt) � Fort Branch, IN TIIESALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY A 169& II / IAT APPL\�r?Of, YES NO CONDITION YES NO CONDITION 'tin 0/0 ❑ 1.Will this property be the buyer's primary ry 0 ❑ 3. Homestead �/1/T residence? Provide complete address of primary - ❑ © 4.Solar Energy Heatin JGy ling System residence,including county: 8/ ❑ N S.Wind Power Device TO 210 S Main St R Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Owensville,IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device Cite State ZIP Code County 7U ❑ 2. Does the buyer have a homestead in Indiana to be ❑ B. Is this property a residential rental property?ig 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. 402 E Sinclair St Not available in all counties) Address(Number and Street) Fort Branch, IN 47648 Gibson 7 12-17-/ a -Q4002 - oen791,4 oat City,State ZIP Code County Primary property owner contact name E-mail