HomeMy WebLinkAboutHomestead_Gardner 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) v : , : --
Cara R Hunt
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
110 N Lincoln Street
Address(Number and Street) Address(Number and Street)
Oakland City. IN 47660
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 re uir law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
SO nature ofSeller Signature of Seller
Cara R. Hunt
Printed Name of SelleF---____ Sign Date(MM/DD/Ym) lPrinted Name of Seller Sign Date(MM/DD/YYYY)
P-AGYER(S)/,.GRAgtai r.-=APPLICATION_Polk_PROPERT,YTAX.D,EDUCTIONS _IDENTIF LL_I`LEMS TAPPLY` : __ _.
Dust D. Gardner Jacob Lewis i 1 V 't_l,& •
er 1-Nam conveyance document appears on cohveyan a ocument
. Main Street-P.O. Box 213 206 N. Main Street-P.O. Box 213
Address(Number and Street) Address(Number and Street)
Griffin, IN 47616 Griffin, IN 47616
City,State,and ZIP Code
.
YES NO CONDITION YES NO CONDITION . ILE
171 ❑ 1.Will this property be the buyer's primary 0 III3.Homesteads ? w'
residence? Provide complete address of prim. -, !�* • • ,: Heating/Cooling System z�
residence,including county:
110 N. Lincoln Street ❑ 0 5.Wind Power Device Novi 5 2019
Address(Number and Street) ❑ Z 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ IZI 7.Geothermal Energy,l ating/•oo ' _evice
City,State ZIP Code County qx!
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8.Is this prom �� I property?
�) n
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive taxTYq stateenCIa1S('or this
complete address of residence being vacated, • •perry via-e- '1? Provide contact information
including county: below.Please see instruct► r more information.
Not available in all counties.) -
Address(Number and Street) q
City,State ZIP Code Cou D6 -1� I s-1403 ( 0 " —0 3- •
Primary proper Ts— '^- an act^ E-mail