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HomeMy WebLinkAboutHomestead_McCord (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID?oP,REP,1:'RER` -,-c s.f xi-4.:; --.T- M'�:� 5- .�:"7 e�r77-c€:,:--r,.-r-tr a c; ^ ... Fv ,�; . - «x_-,+I Leon C. Stone President Preparer of the Sales Disdosure Form Tide 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 bti(a'�mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E •SE011ER( GRANTQR(S)":0-1- °-'= :4m ,,r . c1/4 -` `'- <%:r- <- 7, .a - ..s,. . . -. :•a. � .. .. . _ z „ Linda S Stephens f/k/a I inda S Newcnme Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1004 Adams Court Address(Number and Street) Address(Number and Street) Haubstadt IN 4763g 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 r quired b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sign lure of Seller I 7 Signature of Seller rr I inda S Stephens i 1 / ry I ( 2011 Printed Name of Seller 54w to(M /0/1171,1 Printed Name of Seller Sian Date(MM/DO/MY) IF.:BUYER(SJGRANITEE(S).-=AP,P,LICATION;F,QR P,ROPERTTYeTAX DEDUCTIQNS'IDENTIFaY ALL ItTEMSjT,H'ATrt1P,lil `r— = ''.76-1:71 Judy Ann Ru-rrough c-mrrnrd Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docu ;n 1867 Outer Lake Road ' a Address(Number and Street) Address(Number and Street) �� Princeton, IN 47670 • THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THO H*flan Pg,L;r VgJ9 WI . YES NO CONDITION YES NO CONDITION UN,Y AUI e 17) ❑ 1.Will this property be the buyer's primary IA ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1867 Outer Lake Road ❑ fl S.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Z 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 ❑ 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) a‘ - /)-99 Soot 000. J55-4 9 City,State ZIP Code County - - - — Primary property owner contact name E-mail