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HomeMy WebLinkAboutHomestead_Wallace (26) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 • (DtiP,REP,ARERt r— ,' Leon C.Stone • President Preporer of the Sales Disclosure Form Tide 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 btic mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail FEtSELLER(SVAGRANTiOR(S)L .' - . -..� Sit; � ,'?Y--.. _... _ o Jeffrey A Rausch Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 615 McCarty Road Address(Number and Street) Address(Number and Street) Princeton.IN 47670 Under r . s of per's ry,I ereby certify that this Sales Disclosure,to the best of n1y k o f le :f t .f,is true,correct and c• : req r:d law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property . sclosure Act". ��� ;, / DEC 222017 of Seller ,e2.721±-7 Signature of Seller .- eyA Rausrh Printed Name of Seller Sian Date rMN/DO/M0 Printed Name o(Seller V I Sian Date(xM/ooMn1 FNBU,Y, I/LGVN;TEE(S) ARP•EIGATION F-0R?P,RQRERvaTRX4DEDmaiIONS`-$-IpE 4111Wethrat 3frriiGeWery Amanda B.Wallace • Buyer! Name as appears on conveyance document Buyer 2-Name as appears on conveyance document • P.O. Box 42 Address(Number and Street) Address(Number and Street) Cottage Grove,TN 38224 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION - ❑ 1.Will this property be the buyer's primary 2 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ J!;-� 803 N Hart Street 5.Wind Power Device • Address(Number and Street) ❑ IZ 6.Hydroelectric Power Device r Princeton, IN 47670 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device • City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? • vacated for this residence? IF yes,provide ❑ 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) a4 - Ita a a g • Ciry,StateLPCOde County Primary property owner contact name E-mail 6 11