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HomeMy WebLinkAboutHomestead_Thome II INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2 DiiRREP RARAER' , — -- i _. .- 1 _- - - ! - • - - -- SHERIL.GREENE Preparer of the Sales Disclosure Form Tide 1122 E.OHIO ST. Address(Number and Street) Company PRINCETON. IN 47670 812-664-1005 City,State,and ZIP Code Telephone Number E-mail • E',SEHIER(S)%GRAg11TOTi ) e.s. • --n-7 Ira?7 - — • , _LI. - , , 1 PATRICIA D VANOVFN Seller I-Name as appears on conveyance document Seller 2•Name as ap pears on conveyance document 911 S IFFFFRSON ST Address(Number and Street) Address(Number and Street) PRINCFTON 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 complete as requi d by I w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". L I 14/77A'-a v l gnature ofSell11-----1 Signature of Seller - • - - .. . .Printed Name of Seller _ An Date(MM/DD/YYY) Printed Name of Se - Sian Date(MM/DO/YYYY) 1 AB 7AP.P,L'ICATiIONjFA MRCI?ERTRY;ITp??REFUCTIQNS=IDENT 3/47R ilajEMS➢ FITATIKRI LYgtn -- ; HILIP ROY THOME II U1 ANGEL R.THOME Buyer I-Name as appears on veynnce document Buyer 2-Name as appea on conveyance docdmenl . EMIN Address(Number and Street) Address i m er and Street) DEC 4 2018 PRINCETON,IN 47670 PRINCETON IN 47670 Inn-Mimi, THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THI ROPERTY. IDENTIFY ALL 0 OSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's primary ❑ ❑ 3. Homestead residence?'Provide complete address of primary © 4.Solar Energy. eating/Cooling System residence,including county: 904 N SEMINARY ST ID5.Wind Pow Device Address(Numberand Street) ❑ ectric Power Device PRINCETON,IN 47670 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device City,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 ❑ 1 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) City,State ZIP Code County 2 O— /Z— CZ" -y03-ono. 2eV, Die Primary property owner contact name E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct --