Loading...
Homestead_Farris --- p- + .; ( EL S DISCLOSURE FORM SDF ID: _ Page 2 rIRER .. �= _ . ' ..t - a - - - ��,:a Kolb - -- _.,. "i Closing Manager r .:A.heparer of the Salts Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton. IN 47670 E-mail E:SEL'LER S GRANTOR S v-` nn �y p ( �� ( )t..: S'• -. _4,~. � �, a. ,._ :tee �I rt• •�Y '>• nx — t,. - .+.:-- Crissy K Kemey Karen E Briggs Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 121 S Second Aye 121 S Second Ave Address(Number and Street) Address(Number and Street) Oakland City IN 47660 _Oaklanrt Cit IN 47660 E-mall Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ant(.''gEE/rbmplete as Ieq i d by law,and is prepared in accordance with 1 6-1.1-5.5, "Real Property Sales Disclosure Act". Signa:urco Seler Ml,/ lr - 1 (///11/11) 1\ C (4 Oli;i; L�S 5/gna[ure o/Seller Printed Name o(Seller Karen E Briggs V J(IM !S Sian Date(NM/DOgYYYI Printed Name of Seller Sian Date(HsO /rim IF. BUYER(S)/GRANTEE(S):-.APPLICATION FOR PROPERTYTAXIDEDUCT(ONS-•IDENTIFY,ALLIFEMS-THAT:APPLY' --_ Lois A Farris • Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 9727 E 600 S Address(,Number and Street) Address(Number and Street) Oakland City. IN 47660 E-mail Telephone Number '1u''tA�V', 'Q p p THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FORCERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT Sall.18 LO)J E-mail YES NO CONDITION I YES NO CONDITION ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead J�o residence? Provide complete address of primary ❑ © 4.Solar Energy( P/����>�SYyssteDITOR q residence,including county: 1/,, S Second }aye ❑ 0 5. Wind Power Device Address(Number and Street _ ❑ O 6. Hydroelectric Power Device an"mte2rrcode-a COI,'n L'9-g 60 • ❑ 0 7.GeothermalEnergyHeating/CoolingDevice County ❑ 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 ❑ 0 9. Would you like to receive tax statements for this complete address of residence being vacated, property via a-mail?(Provide contact information ([ �ncluddiin county: below. Please see instructions for more information. -� 1 �� d 6n Not available in all counties.) Addryre�s(N�urme�s�r a1nd S'ec LOity State ZIPCode �, 3�- �T-66 0• a6 - IS -13-1-10).-001 0 ii--On4-- County Primary property owner contact name E-mail Number License/ID/Other Number