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HomeMy WebLinkAboutHomestead_Bockwood ., INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Wen-POE Rc "z- ''i.aTh � � s? -.1> : L x at t....-is.sx ue.'-4/1s„-: ma . 4—tVikr_+ r5 °"Szir : SHERRI L. GREENE Preparer of the Sales Disclosure Form Tide . 1122 E. OHIO ST. Address(Number and Street) Company PRINCETON, IN 47670 812-664-1005 City.State,and ZIP Code Telephone Number E-mail E'SEI;(t,ER(S)fGRANT,OROS)=is' al i_-=?ar r_ ;N _." F- = . -'??_: -s cl' izr c , _, ._',. PATRICIA D VANOVFN Seller 1•Name as appears on conveyance document Seller 2-Name as appears an conveyance document 911 S JEFFERSON ST 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 co�plat�ui d by aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". &iErjj tieo(S¢lG'F `��ZP�- Signature of Seller PATRICIA D VANOVFN 410!4i2-53/201-1 Printed Name of Seller Sian Date(MN/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYYI F WY ER(S) GriAMI £('SjQaiThICATION?F,OR'PROP,ER. TAXYDEDUCT(0\S IDEN1131g t1inagiE-;` i `P,P ti st-mss'i i', STEPHEN W. BOCKHOLD 1 1) Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 602 N. Address DEC 28 2017 Address(Number a and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES z NO CONDITION YES NO CONDITION • 7 `' 1.Will this property be the buyer's primary g 3. Homestead �7 residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: ❑ TA S.Wind Power Device Address(Number and Street) ❑ RI 6. Hydroelectric Power Device ❑ z 7. Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 2. Does the buyer have a homestead in Indiana to be ❑ fl 8. Is this property a residential rental property? vacated for this residence? If yes, provide ❑ El 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.) Q Address(Number and Street) a(12 .la-o '1 -ac'+-coo , V 1)-W eP City,State ZIP Code County Primary property owner contact name E-mail