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HomeMy WebLinkAboutHomestead_Matthews (3) • INDIANA SALES DISCLOSURE FORM SDF ID: U /7r1 I Pa;e 2 D.PREPARER•. Bryceann Cutsinoer Preparer of the Sales Disclosure Form Title • 226 W. Broadway Broadway Title,Inc. Address(Number and Street) /, Princeton IN 47670 kit) ' �J. 1� - CW' mail to __—---_____ . _ ._—_ 'MI .V1,2- Q vrkel,-(4-/-\_ o a 'of k'¢ w' mi; }` _. II. 111 Ir- •- . i •- , Seller!-Name as appears on conve n [ lam, vs appears on conveyance document A j f, : Address(NumbcrandStreet) ? •ndStreet) I(11 C } City,State,and ZIP Code tgsA,4 Code U (' AUnder penalties of perjury, ' ` C-r i \�� ` l t of my knowledge and belief,is true,correct { and complet• as required • �,�— !' ' � lj o +,5,"Real Property Sales Disclosure Act Signet "eofSeller "� . i r i. •- , 3 U !! (�0 -1.`�j ` , 'E� Printed Name a Seller er Sr t n Date MN DO YYYYI 1 Larry A. Matthews Christina J. Matthews Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document •4 Ii re 525 S. Hall St. 525 S. Hall St. P.>, Address(Number and Street) Address(Number and Street) �`e+. Ao Princeton,IN 47670 Princeton, IN 47670 �t'//11 city,State,and ZIP Code /J E-mail THE SALES DISCLOSURE.FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE.THAT APPLY.O& YES (,-.,.,... NO CONDITION YES NO CONDITION 4,, -°'hd 1.Will this property be the buyer's primary v❑' ci 3.Homestead (�(7jj, residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System O,f, esidell e,in luding county,• s%`� L`� ,r El5.Wind Power Device s lNumbcrandStre"t) ❑ z 6.Hydroelectric Power Device j� = �n'�U Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code I County 2 0 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 ❑ IA 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information incl d county: below.Please see instructions for more information. ag c �,�( s -r Not available in all counties.) s( r nberandStrc t '.( Y.c L-7��10 46Q aL--05 -31200�-000 . 61�---02 City,State ZIP Code County Primary property owner contact name E-mail