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HomeMy WebLinkAboutHomestead_Kiefer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER _ ' . • 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.SELLER(S)/GRANTOR(S) - • ' - -, - Samantha J Maikranz Mark A Weightman Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 914 N Polk Drive 914 N Polk Drive Address(Number and Street) Address(Number and Street) Oakland City IN 47660 Oakland City IN 47660 City,State,and ZIPCode City,State,and ZIP Code ( E-mail U der penalties of perjury,I here y certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct complete as re ui ed by lay, and is prepared in accordance with JC+6- 1-5.5," I Property Sales Disclosure Act". - Signature of Seller ' /� Signature of Seller ,Samantha.) Maikrav (/(I 062270/� Mark Weinhtman Printed Name of Seller Sign D to(MM/D inn) Printed Name of Seller n e(MM/DD/YITY) F.BUYER S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL MIIJTAKYt' . �Patricia A. KiefeRs B M......- - ppcui on conveyance document Buyer 2-Name as appears on conveyance osEfint 9 2019 2120 Ashton Court-Apartment 5 Address(Number and Street) Address(Number and Street) Princeton, IN 47670 p (y City.State,and ZIP Cade City,State,and ZIPCode GIBBON COUNTY AUDITOR ( E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION _...l'£9---FIZDNDFAO 2 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestea residence? Provide complete address of primary © 4.Solar Energy Heating/Cooling System residence,including county: D 914 N Polk Drive S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El 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 e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) .24— /4-1 - a0i-OOO • 8 xes - 007 City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number