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HomeMy WebLinkAboutHomestead_Adams (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 1DIPREPARERLi-N'. . :. E, gee•`. _..,x_ .., ,- r- ..se t % , 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 btiemw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E::SEBLER(S)Y/.GRANTQR(Sr-.-_ `. • .: .il'.-' Mt—.r .z - ;I's. p: #'ia- ' a'-, . . . s Adam G Chitwood Alicia Chitwood Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 438 S Gibson Street 438 S Gibson Street Address(Number and Street) Address(Number and Street) Oakland City IN 47660 Oakland City IN 47660 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and plete asi'equired by law,and is prepared in accordance wit 1 6-1.1-5 Prgperty Sales isclosure Act". l Signature of Seller ,/` !, Signature of Seller Adam G Chitwood o y z S /-�-0/d Alicia Chitwood Y/23//5 Printed Name of Seller ion Date(MM/DU/YYYY) Printed Name of Seller - .Sian Date(MM/DD/rrrr) I; B[IIYER(S)%GRA\TEE(S')LAPP(;IGATIQNjF,QRbP,RQPERTpYdTN{{DED4ICTIQNS- IDENtTiIVAL^L'lifiEMSpTHATgAP,P,Lye "r1=r T',r' 7: 1 Jessica L. Adams Chelsea F. Jones • Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 518 N Short Street 518 N Short Street Address(Number and Street) Address(Number and Street) t THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTI I .OSE THAT APPLY. YES NO CONDITION ,Y" NO C;NDITION - ❑ ❑ 1.Will this property be the buyer's primary ( 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ Q 518 N Short Street S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a hh'V a in Bile e ❑ 0 8.Is this property a residential rental property? vacated for this residen t e pr ❑ I? 9.Would you like to receive tax statements for this complete address of residence i property via e-mail?(Provide contact information including county: below. Please see instructions for more informaton. MAY 7 2018 Not available in all counties.) Address(Number and Street) •��A 94- / 4--/8-/ o �ao/. 303-007 City,State ZIP Code II47sr ijnn1th County Primary property owner contact name _ E-mall