HomeMy WebLinkAboutHomestead_Brooks (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Leon C. Stone President
Preparer of the Sales Disclosure Form Tide
226 West Broadway Street Broadway Title, Inc.
Address(Number and Sweet) Company
Princeton. IN 47670 (812)386-1687
City,State,and ZIP Code Telephone Number E-mail
I EI SEIIEER(S)/GRAYTOR(S)t - -- -- a 7 ;----—-"-- i:— -:_____„--7---- --:-- T- —.— t— - - -- :7
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Joetta R Rogers
Seller l-Name as appears on cony nce document Seller 2-Name as appears on conveyance document
u' �4o (1111UIn 12;I�c
Address(Number and Street) Address(Number and Street)
RI0A-SteI I U J4 id 1110
that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
iri e -�,2�
Signatur Ilex Signature of Seller
Joetta R ogers •
Prislted&ame"rmller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(AM/DD/YYI'Y)
U;YER(S)%GRA E(SSjPP,L AICATION_FOR?P,ROPERT.Y=TAX;QED ET UIONSIIDEN,IM FYI A11:1TEMSiTH TtlAPPLY' - `:—
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t Btu,.. E. Brooks• LIBM. Brooks F J
BtQ'el l-Name as a n conveyance document Buyer 2-Name asap rs on cony�a a e LED
418 N Gibson Street 418 N. Gibson Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton IN 47670 OCT 4 2018
USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR RI Y. IDENTIFY-At 'gaypsfltt40MNTV AUDITOR
YES ' NO CONDITION ES NO CONDITION
A``YJ�'( ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary nergy eating olingSystem
�f residence,including county:
'I Ci `,12, I 0 ❑ S.Wind Power Device
IN ra 5 ��veSl�
ddress(Number and Sweet) 1I_c' ❑ 0 6.Hydroelectric Power Device
A'1gc Lt1 n '11( Ito (11Y s- - ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade County
❑ 02.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide D E 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 i_nf_ormation.
_Not available in all counties.) \
Address(Number and Sweet) �0^ _0/--�^f] ��'14^� ^O a�
City,State ZIP Code County
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P,+maIcp r'pg.: contact name -••