HomeMy WebLinkAboutHomestead_Hale (3) >t SALES DISCLOSURE FORM SDF ID:
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,eon 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
rerSELLER(SII,,GRANTOR(SjT i. r . . a..._ a %- _� D ;Wi`_..- -�. ___-- -•;`, -idi_
Mike Woods Susan Woods
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7932 SR 165 7932 SR 165
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 I Owensville IN 47665 I
- . 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller
',26/q Signature of Seller
Mike Woods /—/S="7-6+1dt Susan Woods (— 1 S ' \ 9
Printed Name of Seller Sean Date(M.M/Do/YYY1) Printed Name of Seller - Sian Date(MM/DD/YMI
` s 'N'TEE(S) )ARP.L'ICATIOMEORWROPERV TAXIDEDUCTIONSe,IDENT1EWALL'{ITEMSLTHAT ARPiilifi :_. `_ -r- .._J
Dalen L. Hale $ D
\ Buyerl-Nam rs on conveyance document Buyer 2-Name as appears on con clhc entE
309 S McCreary Street ..
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 INN 16 2019 1.--1
Ciry,State.and ZIP Code
City.State,and ZIP Code
(
E-mail Telephone Number t Itt( E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P:,• .. • -' ,F TH OS TOMMTY AUDI IUR
YES NO CONDITION YES NO CONDITION
Q ❑ 1.Will this property be the buyer's primary ' 0 ❑ 3.Homestead
residence? Provide complete address of primary - n •• -_ _ • _ -a mg/Cooling System
residence,including county:
6006 W SR 64 ❑ El S.Wind Power Device
Address(Number and Street) ❑ WI 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson
City.State ZIP Code County ❑ 0 7.Geothermal Energy Heating/Cooling Device
❑ z 2.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 ❑ IA 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: b . ease see instructions o information.
Not available in all counties.)
Address(Number and Street) -
Ciry,Smte ZIP Code 6 — 11 _ 0 7- tQ b -O 00. 'k e7 -0 Z3 '
County
Primary property owner contact name Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and elief,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".(Note:
Number License/1D/Other Number