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HomeMy WebLinkAboutHomestead_Tully (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I !'D4P,REI 1RERi -_ z :.• — : :— • - • 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 Ciry,State,and ZIP Code Telephone Number E-mail E,SEL'L'ER(S)%GRAN;T(OR(S)F r . • • --- Andrew A Tully Seller I-Name as appears on convgance document Seller 2-Name as appears on conveyance document L,77 5- kiq 11 S+ Adfi11ess(Number and Street) - Address(Number and Street) NrtnccIo,),2/1/ Y7676 City,State,and ZIP Code Telephone Number `� 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 andple as re 'red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Andrew A Tully 11- I6 -1 Printed Name of Seller Sion Date(MM/aDMYY) Printed Name of Seller Sian Date(MM/Do/rvvv) 1F BU,YiER(S)'/. WANiT!EE(S)'E'AP_P, GMiil0MEOR?P,RQPERTIY SAX[DEDUCTIONSIIDENITIFY{ALI;IT(EMSITIHQT�QP,P;LYi - _ Renee A. Tully • Byer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance documenti 7 s 1 c. sf Ad s(A' bet and trees) Address(Number and Street) PR -Jcs• L 1 4 67b - ' Telephone Number E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION ❑ 1.Will this property be the buyer's primary IA ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 427 S Hall Street ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ 171 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Ij 7.Geothermal Energy Heating/Cooling Device Ciry,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 ❑ 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) lae 303-COM g City•State ZIPCode County Primary property owner contact name E-mail License/ID/Other Number Number License/ID/Other Number