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HomeMy WebLinkAboutHomestead_Harmon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER _ .. _ . .. _ Leon C. Stone President Preparer of the Sales Disclosure Form Tide 226 West Broadway Street Broadway Title,Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 bti(afmw.twcbc.com City,State,and ZIP Code Telephone Number Email E.SELLERS)/GRANTOR(S) . - ' - - Cheryl l I oveless Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 324 West Walnut Street _ Address(Number and Street) Address(Number and Street) Princeton IN 47670 Unde enalties of perju I reby ce)' that his Sales Disclosure,to the best of my knowledge and belief,is true,correct an o to equired b aw,a pre I. ed in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .Signature of Se a/ Signature of Seller Cheryl L Loveless '7 —C, —/e _ Printed Name of Seller Sign Date WM.M/ /YY DDYY) Printed Name of Seller Sian Date(MM(DO/Yrn) ,,//F.B 1YER(S}fGRANTEES)-APPLICATION FOR PROPERTY TAX DEDUCT IONS-IDENTIFY ALF TAT�L • (Pamela J. Harmon 'qpt r y • . \ uuyerI'Name as appears on conveyance document Buyer 2-Name as appears on conveyance ocumeni 530 S Stormont Street q q p Address(Number and Street) Address(Number and Street) APR 9 20 8 Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES ES- NO CONDITION (If Nn Cosnsrs9N h4 ❑ 1.Will this property be the buyer's primary / w El 3.Homestea residence? Provide complete address of primary l U 4.Solar Energy Heating/Cooling System residence,including county: ❑ Nl'r 57 S.Wind Power Device (Number Street) ❑ Q 6.Hydroelectric Power Device I Nc-w Al 4-76,, 71) f���Se ❑ 7.Geothermal Energy Heatng/Cooling Device City,State ZIP Code / County ❑ 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 ❑ 2 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. c3.o s S7DP.ThaAM c� 7 Not available in all counties.) d s(Number and Street)tiN/ �TVAJ. ).7nl *'7�7n A6 -/d - e7 -/o/- oto • 843 -0 A8 City,State ZIP Code / County Primary property owner contact name &mall