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HomeMy WebLinkAboutHomestead_Browning (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Pattitti Kolb Closing Manager Preparer of the Sales Disclosure Form Tide 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 Datti(atbroadwav-title.com City,State,and ZIP Code Telephone Number E-mail `Ei,SELLER(s)'/.GRANTOR(s)1.._ s _ L_.—_ Brian M Browning Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2468 Timberwolt I ane Address(Number and Street) Address(Number and Street) Winslow that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn e as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller G�t/41/I 17 Signature of Seller Brian M Browning Punted Name of Seller Sign Date(MM/DD/YYYY) • Printed Name of Seller Sian Date(MM/DD/YYYIt • IF RAT±,1 — C=AP,PLICATIONiEQRRRQP_ERV TODEDUCTIONS_dRENTIIWALL,ITEMSITHATAVILY/ 7 - - . Traci L. Browning Buyer!-Name onveyance document Buyer 2-Name as appears on conveyance documen' 1 SCollinsS . Address(Number and Street) Address(Number and Street) Francisco, IN 47649 - e E-mail Telephone Number O,y E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDE •THOSE THAT APPRY(/ . ON Y NO CONDITION YES O ❑ 1.Will rthis property be the buyer's primary 2 ❑ 3. Homestead A /J/TOR residence? Provide complete address of primary ❑ © 4.Solar Enema H ' g/Cooling System residence,including county: 103 S Collins St er Device Address(Number and Street) - ❑ 2 6. Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 2. Does the buyer have a homestead in Indiana to be ❑ 2 8. Is this property a residential rental property? vacated for this residence? If yes, provide ❑ 2 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) O 'As9-- ?O—/6.j rICE).0 2 0 —0aS City.State ZIP Code County 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 Number License/lD/Other Number