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HomeMy WebLinkAboutHomestead_Devoy . i ND ANA SALES DISCLOSURE FORM - SD. ID: 26 - 17 - 1111530' - Page }D%PREPARERf`,tr°, cz.-.40ctr icri- °_. _ 's` Ta `Sea-'�'°. i Muna Aldhalimy Deed Specialist Pr parer of the Sal s Dlsdosur Form Title 662 Woodward Ave. - Title Source, Inc. Address(Number and So-e t) Company Detroit,MI 48226 8888485355 . munaaldhalimy @titlesource.com City,State,and ZIP Cod Telephon Number E-mail t-E1SafLER(S)`/.GRi1NTDR(S)N .L, ...-f , r -> :r <r<...i;flii.y -i.:ice: - , 5 ;.?"�_,x T_`- fa'2 Sue Ellen Beloat -.Kenneth C. Schafer S lien I-Name as app an on conveyance document Seller 2-Name as appears on conveyance document 271E 400 N 271E 400 N Address(Number and Stre t) Address plumber and Street) Pakota, IN 47666 Pakota, IN 47666 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete�asn required by law,and is prepared in accordance with IC 6-1.1-5 5,"•eal P operty Sales Disclosure Act". QIXL S ZY f'u) L 16.J7 `/ - : La Signature of Seller signature of Seller Sue Ellen Beloat A2 _15----c,247 7 I Kenneth C. Schafer �' sV f—/s '"O' 7 Printed Name of Seller Shin Dot IMM/DD/YYYY1 Printed Name ofS ller Sign Date(MM/DD/rrrr1 D BUYEFit*.GRANTEE(S)LAPP,Lffe ATIOKjFORliPROPER`Iiifi rMI)EDUC^T1l)Ntar bEN-10,Nr 'LLTTjEttig,HAT APPLY Johnathan L. Devoy _ _ I . Buyer l-Name as app ars on conveyance document - - Buyer 2-Name as appears an conveyance document 1799 N State Road 65 Address(Number and Stre t) Address(Number and Street) Princeton, IN 47670 p..., . ` THE SALES D SCLOS RE FORM MAY BE USED T APPLY FOR CERTAIN DEL CFIONS FORTH S PROPERTY. IDENTIFY ALL��O�F THOSE THAT APPLY.72 YES NO COND TION . . .. . .. I YES . - NO -CONDmoVep • © ❑ 1.Will this property-be the buyer's primary © ❑ 3:Homestead 00,. rs residence? Provide complete address of primary tin' P° P p• 6' ❑ - �� 4.Solar Energy Heanrlg'f�..• ng • [em 1799 N State Road 65 ce,including county: ❑ '9(J / 5.Wind Power Device T0 Address(Number and Stre t) ❑ 0 6.Hydroelectric Power Device R Princeton, IN 47670 26 ❑ © - 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ j 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 ❑ © 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.PI ase see instructions for more information. Not available in all counties.) Address(Number and Stre t) 2.0 - o5:-J/ '�oo co 1 730 OQ7 Johnathan L:Devoy City,State ZIP Code County Primary