HomeMy WebLinkAboutHomestead_Caniff INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.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(dmw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) -
Harvey J Caudill
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1034 N 150 F
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and
��cVo)mpl��uire by�s prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
$gnature of le (� —7 c' Signature of Seller
Harvey J Caudill L —tX )— f d
Printed Name o(Seler Sian Date(MM/DD/Yrri) Printed Name of Seller N(1 11(1fb A I ncrstaFarreta F7Dn"ml
F:BIIYFRIS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS
(Jordan GaniffTh •
-BuyeeT-Cue as appears on conveyance document Buyer 2-Name as appears on conveyance document
823 N West Street 210Z -T 130
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES Mm CON ITION
❑ ❑ 1.Will this property be the buyer's primary 0 3.Homestea
residence? Provide complete address of primary ❑ 4.So ar nergy Heating/Cooling System
residence,including county:
1034 N 150E ❑ ❑✓ S.Wind Power Device
Address(Number and Street) ❑ [ 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City•State ZIP Code County
0 Z 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 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)
.16 - la - oy - 3oo - 000. aG.3 .0.17
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number