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HomeMy WebLinkAboutHomestead_Ziller INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER ,•, -;. . Britany N Barnes Agent Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S). Carra L Meuth Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1322 Phillips Rd Address(Number and Street) Address(Number and Street) Boonville, IN 47601 Telephone Number 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 C c plete a required by'law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". am/1 Signature of Seller Signature of Seller p E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead residence? Provide complete address of primary .Soar gy Heating/Cooling System residence,including county:204 N 3rd St El ❑✓ 5.Wind Power Device `, Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device Princeton, IN 47670 ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑� 8.Is this property a residential rental property? ❑ ❑✓ 2.Does the buyer have a homestead in Indiana t to be vacated for this residence? If yes,provide ❑ ❑✓ 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: belo . ns or more information. of available in all counties.) Address(Number and Street) 6'" -.12- -\°4 -003 .381 -0 • City,State ZIP Code County Prima owner contact name E-mail Number License/ID/Other Number