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HomeMy WebLinkAboutHomestead_Lloyd (13) INDIANA SALES DISCLOSURE FORM SDF ID: - - Page 2 I 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 City,State,and ZIP Code Telephone Number E-mail _E:.,SELEER(S)%GRANTOR(S)1' ' _ .-- _ :-.---- ---- r. . ,-, Heather Rappears l LED Seller Name aonpprson conveyance document Seller 2-Name as appears on ronvtyan cu en 206 Harding Avenue Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my Rim' G gIEii iti'eAli!Lti Ftorrect and1 complete ads®rem • by w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". //_ �Cl�w) A' Slgnu[ure of Seller �1 Signature of Seller }leather R Facts JV 'I Printed Name of Seller ion Date(MM/OD/ITYn Printed Name of Seller - Sian Date(MM/DO/YYYY) ;F::BUYER(S/GRANTEE(S) ARP.LICATIONiF_OR.PROP,ERTYtTAX:)EDUCTIONSDDENTIFKALC IIPEMSTHAE`APP,LY' - Judith A. Lloyd Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1002 N Embree Street Address(Number and Street) - Address(Number and Street) Princeton, IN 47670 " THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPS TY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION d ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,s- including county: ❑ 0 S.Wind Power Device Address(Number and Street)20 �l' v' ) a v4 ❑ 0 y 6.Hydroelectric Power Device • Pn hC-Zl"Dh yr,f* 41 lulu ❑ 0 7.Geothermal Energy Heating/Cooling Device Ci ,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be 0 0 B.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ lA 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. IO02 N Fmbr e e Not available in all counties.) �^1 1 Adddress(Nu`mberand Street)t)] 1.11 /•� 9 qI 4 "') /�Z o-�(�• �1 V 2S Y(^I nC-CVfl JJV - 41 [Pi V County (Is((")-1 �— OU — -0 00 • City,State ZIP CodePrimary property owner contact name E-mail