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HomeMy WebLinkAboutHomestead_Williams (46) 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 Adam C. Bush Stacy A. Bush Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 506 W.Monroe Street 506 W. Monroe Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 City, 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 by law,a is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". y71 jj7/Vi e t 014, Signature of Seller / Signature o Se ler Adam C. Bush o3'©�/o?On2O Stacy A. Bush /04/20.2C? Printed Name of Seller Sign Dat (MM/Dd/YYYY) Printed Name of Seller Sign Dat (MM/D/YYYY) F _v :� (S)=APPLICATION FOR PROPERTY TAX_DEDUCTIONg IaDENTIF1rALL ITEMS;THAT APPLY , Jeffery A.Williams Buyer 1-Name as on conveyance document Buyer 2-Name as appears on conveyance document First Avenue Address(Number and Street) Address(Number and Street) *jl r 6 Haubstadt, IN 47639 ''YY� E-mail Telephone Number Q E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER LL OF THOSE THAT APPLY. Vy, YES NO CONDITION YES NO CONDITION —1 On 0 El1.Will this property be the buyer's primary Z ❑ 3.Homestead ,AOR residence? Provide complete address of prim ❑ © 4.Solar eating/Cooling System residence,including county: 506 W. Monroe Street ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ yi 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Z 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 ❑ 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) City,State ZIP Code County ��—/07-o '—303- ®o . /�7 -D'W Primary property owner contact name E-mail Number License/ID/Other Number