HomeMy WebLinkAboutHomestead_DeJarnett INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Leon C.Stone President
Preparer of the Sales Disclosure Form Title
226 W Broadway St. Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670
E-mail
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Jerome Pipers
Seller 1-Name as appears on conveyance document Seller 2.Name as appears on conveyance document
5024 F SR 68
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639
City,State,and ZIP Code City,State,and ZIP Code
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 plete as re ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Si re of Seller Signature of Seller
Jerome Elpers a — /0 - 9, 0a0
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
r lJti--- - - ---APPLICATION FOR PribitierYtifitouttioivS IDENTIFY Att-ittmStHAt AliPLY
/-P:nthony DeJarnett
,,,.......Buyer 1-Name as a ears o ce document Buyer 2-Name as appears on conveyance document
420 E Mulberry St.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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City,State,and ZIP Code City,State,and ZIP Code FI E
Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE OF THOSE T1EBPPIY0 2020
YEANO CONDITION YES NO CONDITION
E, i.Will this property be the buyer's primary 0 3.Homestead • .
residence? Provide complete address of prim ry n Z 4.Solar En 15ieflia R
residence,including county:
I] S.Wind Power Device
Address(Number and Street) 0 Z 6.Hydroelectric Power Device
0 V] 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 z 8.Is this property a residential rental property?
Ei 0 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide E z 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro.e a •- - ;• . ' f •oe contact information
including county: •elow.Please see instructions form. - ormation.
Not available in all counties.)
Address(Number and Street)
.." -\2--0-7-40.3-000 01-0?A
•
City,State ZIP Code County
Primary property owner contact name E-ma'
Number License/ID/Other Number