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HomeMy WebLinkAboutHomestead_Kendall INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ,D..PREPARER __-5 'Tit ,c,s;c r- -y. . - ?EAtiii .r . ir;r., _ . i;-. s__ 13 T,.1 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 ( E-mail :E..SEL[iER(S)/GRANITOR(SJ.sr±1 .11- '_ : ' ` I-1 _`12. ii ,_ ..._._o-'k"ii 77'9 r 1 'za._±'hj^3_'� it"I7s'-et Dennis L Sherman Betty J Sherman Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 906 F 870 S 906E 870 N Address(Number and Street) Address(Number and Street) Hazleton IN 47640 Hazleton IN 47640 City, 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 plete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro erty Sales Disclosure Act". Signature of Seller Signature of Sell Dennis L Sherman "Y/ 6M Betty J Sherman "Y/ 6// Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller ion Date rMsf/Do/YYYI) -F. I ' ' I '. E(Sf=AP,PLICATIONFORiPROP.ERTY_TAXDEDkenna JS=IDENTIFY''ALL IT 6 S-T#,A AP[y _ Kenna J. Kendall . By er -No,- on conveyance document Buyer 2-Name as appears on conveyan u . _6146 N County Road 950 W _ 6146 N County Road 950 W Address(Number and Street) Address(Number and Street) APR 2 9 2019 Hazleton, IN 47640 _ . Hazleton, IN 47640 IRSON COUNTY A -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P . IDENTIn ALLOF ED ETHAT APPLY. YES NO CONDITION YES1 .Ho NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0mestead residence? Provide complete address of prima nergy Heating/Cooling System residence, including county: ❑ 0 5.Wind Power Device 1 311 S Ohio Street _ Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Hazleton, IN 47640 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 6.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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: . ease see instructions einformation. Not available in all counties.) Address(Number and Street)City State ZIP Code County Pnmary 02—cg �3 3 —000 ,-173-O l I Pnmary propenraverter•eensmme E-mau