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HomeMy WebLinkAboutHomestead_Firkins INDIANA SALES DISCLOSURE FORM : SDF ID: Page 2 D REPARER L.e_s . .. ..,__ _>L 7 7 . 7 b ---iAL F Eft IA: _ .;42'.. L __. °s.._.. i "I Rexanne McCauley Title&Escrow Processing Preparer of the Sales Disclosure Form Title 3930 Mezzanine Drive, Ste C Columbia Title, Inc. Address(Number and Street) E SELLERS GRANTORS 1, .' _ Ls Randall E Thomas Seller 1-Name as appears on conveyance document - Seller 2-Name as appears on conveyance document 2146 F Jasper Street Address(Number and Street) Address(Number and Street) Petersburg. IN 47567 City,State,and ZIP Code City,State,and ZIP Code E-mail Telephone Number 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 b w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �L,: ,,sip ,-,- Ate, Signature of Seller Signature of Seller Randall E.Thomas 9/4/2019 A ` Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller )l Sign Date(MM/DD/Yin') F BUYER )/e(S VINTEE(S)__APPLICATION FOR PROPERTY T DEDUCTIONS µTDENT_ fife tiPLY , _-_ Logan D:Firinsk �, y "Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on convetVdosument 614 North Hart Street L�`` lt�(�(AFL Address(Number and Street) Address(Number and Street) • �\vp ' Princeton, IN 47670 \.\\". `v City,State,and ZIP Code City,State,and ZIP Code N GO G\�c�0 Telephone Number 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 YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary L — —❑--3.-Homesteader- residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 614 North Hart Street ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8•Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZI 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) _ _ City,State ZIP Code County t---1 12-0 7-1�-�=teV 2 g_t..D�g..3 Primary property owner contact name E-mail License/ID/Other Number