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HomeMy WebLinkAboutHomestead_Heldt INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I PREPARE ttigti2a M 4 ;r z ,4 t4;,z a ;< Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St. Broadway Title, Inc. Address(Number and Street) E-mail E'SELLER(S)AR?ANTQR(Sre ,._.'.. r: . _.fir {:.�, i.:M' .Me_.. .. ? . _{ 3 gag a.a.: .}.:V _{_Vu. kirAZ_.r ._j `` ~..-._ PV Garrett R Ashby Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1857 S 1190 E Address(Number and Street) Address(Number and Street) Oakland City IN 47660 City,State,and ZiP Code City,State,and ZIP Code 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 a 1 k t mplete re i by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /i • Signature ofSeller • Signature ofSeller Garrett R.Ashby 5 -Is-- 204 Printed Name ofSeller Sian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F:-BUYER rgit-MIT$EA_,:AMCA=TION FOI ROPER'irY I DED'UCTrONSEIDENITRTAIMNIS TIHA'I°QrETLYs Y> MMT.;2 Sidney E. Heldt Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 5260 S 1189 E Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 City,State,and ZIP Code City,State,and ZIP Code FILED • Telephone Number E-mail Telephone Number May 18 2020 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY/I, YES NO CONDITION YES NO CONDITION IZI ❑ 1.Will this property be the buyer's primary IZI ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1857 S 1190 F ❑ 05.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device • Oakland Ci , IN 47660 Gibson ❑ 07.Geothermal Energy Heating/Cooling Device City,state Code County ❑ m 2.Does the buyer have a hoestead in Indiana to be ❑ 0 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) 26-14-19-104-000. 960-006 City,State ZIP Code County Primary property owner contact name E-mail Number License/1D/Other Number