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HomeMy WebLinkAboutHomestead_Deutsch INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 •tD PREPARER _, .• 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(@mw.twcbc.com City,State,and ZIPCode Telephone Number E-mail `iE?SEL'CER(Sj(GR'ANTIOR(Sji: - _ - . — --- -- _: .. . - '---.-- Debra K Yancey Carol I Rice Seller I-Name as ap rs on conveyance document Seller 2-Name as appears on conveyance document I o y E, !�ap/a r S7- `'may \Oes�- (t,5 o Sake I Address ifRNumAand Sn et) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct d co plete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Re I Property Sales Disclosure Act". ihlk RI /gnat e of Seller Signature of Seller 9-eItq KI yaA-)Gp∎I 2--- 16-1? C Kr a\ . R∎Ce rd-\�- k% Printed Name of Seller Sign Date(MM/oa/vrvp Printed Name of Seller Sian Date(MM/DD/YYYn LP!jRUIY.ER(SI/.GRANTIEE(S)IEARP.LIGATIONPF,OR?PROPERTIVPAXIDEDUCTIONS IDENTIEWALCItlTE ) -`.1( rep: —>-,i Michael R.Deutsch - t t Buyer I-Name as appears on conveyance doff ent � "� Buyer 2-Name as appears on conveyanc -•ocu -lit ' 6300 Upper Mt.Vernon Road C 1976 V.63 4i4 9 q . Address(Number and Street) Address(Number and Street) FEB 1 9 LUIU • • 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 V ❑ 1.Will this property be the buyer's primary IV ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System • residence,including county: ❑ IN S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 6d 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) ` 1,- [3.-13 - 1104 -COO, l16-DN., City,State ZIP Code County Primary property owner contact name E-mail