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HomeMy WebLinkAboutHomestead_Martin (4) it s INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ................... .. .. . . ... .. . . .. . ...,..t', ; Wit- 1 Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 bti(bhmw.twcbc.com City,State,and ZIP Code Telephone Number E-mail ISI4SEMER(S)TAGR'AN]Ti08(8)1%. ` -, . ---: -. - - . . - . . .: - __" Randall D Pieoer Alicia A Piener SellerI-Name as appears on conveyance document Seller 2-Name as a rs on conveyance eyance document 2500 E Lake Rd 2500 E Lake Rd 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 and complete as required by law,and is prepared in accordance wit C.6-1.1-5.5,"Real Property Sales Disclosure Act". s) & 1) Pwat J1.Ji,6 ) A-rPt p Signature of Seller r / Signature of Seller Randall D Pieoer 102 /`� //7 Alicia A Pieper /&� Printed Name of Seller Sian Date MM DD ( / /YI•Y17 Printed Namea(Seller STpnD [e(MAVDD/YYYY) EF,ABU,YER(SA GRAgiE E(S)p PP,L'ICAT1.011E,QRIBROPERTtY61TA atEDUCTtIDNS IDENIirtili ALLWITEMSiTHAT{AP,P,LtYJ ' t,:r .4. Patrick W. Martin Debra Martin Buyer]-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 7800 S US Hwy 41 7800 S US Hwy 41 Address(Number and Street) Address(Number and Street) �� • THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFTHOStT)(ATAPP el), YES NO CONDITION YES NO CONDITION SQM ' LwJ ❑ 1.Will this property be the buyer's primary .[� ❑ 3.Homestead Q residence? Provide complete address of primary T lis residence,including county: ❑ © 4.Solar Energy Heating/Coolingl5 b .PI'S& / n_ ? ' ti ❑ Fl 5.Wind Power Device /TQ� <1's umber and Street) 0 6.Hydroelectric Power Device • W- El-' IJC4 �.1 47 10-70 �/�� ❑ Ei 7.Geothermal Energy Heating/Cooling Device City,Stay Code / County ❑ 2.Does the buyer have a homestead in Indiana to be El 8.Is this property a residential rental property? • vacated for this residence? If yes,provide ❑ Z 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) do -/,7 aQ /D,3- eist• oga?-dot 2 Ciry,State ZIP Code County Primary property owner contact name E-mail