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Home My WebLink AboutHomestead_Rodgers , 3 INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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 E. Greg J.Weber Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 204 S Wood Street Address(Number and Street) Address(Number and Street) Patoka IN 47666 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 complete as 1.:71Lred by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ' 4jr Signs rat-Seller Signature of Seller Greg,I.Weber 7- _27- .2a2D Printed Name of Seller Sign Date WM/0MM Printed Name of Seller Sign Date(14M/DD/Y171) LF BUILiEl (5)/GlIANTEE(8) !APPLICATIONVORPROPEIrkTY;;TAk bEDUCtIONSiLI.IDENTIFYALUIT HA y• Y James Rodgers Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on con4 I.49e iacument 310 S.West Mill Street 't? OP2,9 Address(Number and Street) Address(NutnbereLStreet) Patoka, IN 47666 /606'01,v - E-mail Teleplo;Number Of? E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCT ONIffai IS o E .IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION f*, r leg NO CONDITION g fl 1.Will this property be the buyer-s-prunary KA, Ey 3.Homestead residence? Provide complete address of primary D [ZI 4.Solar Energy Heating/Cooling System ”esidence,ippluding county: .__Alflab np0 J 5.Wind Power Device Address(Number and Street) 0 2 6.Hydroelectric Power Device Patoka, IN 47666 Gibson 2 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El 8.Is this property a residential rental property? E 2 2.Does the buyer have a homestead in Indiana to be 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) 101-1 11 CI 2N--- coo sb- oZo City,State ZIP Code County Primary property owner contact name 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,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) Signature of Buyer' Signature of 8uyer2/Spouse ,lames Rodgers Printed Legal Name of Buyer 1 Sign Date(MWDD/YYYY) Printed Legal Name of Buyer 2/Spouse Sign Dote(104/DD/YYYY) Last 5 digits of Buyer 1 Driver's State Lost 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Lost 5 Digits of Social Security License/ID/Other Number Number License/ID/Other Number s • .. 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 J E SELLER'(S)fGRANTOR(S)__ __ ___ : ... - .f - __-_ _ •._.- ___.__ ___ _,.__ _ _ Greg J.Weber Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 204 S.Wood Street Address(Number and Street) Address(Number and Street) Patoka, IN 47666 certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete ajs re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signs rgio'fSeller Signature of Seller S;reg.1 Weber / - ,2 7- e2d2D Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) ._ _UYER(S)/_ T-EE S; -APPLICATION:_FORPROPERT:YTAX,DEDUCTIONS-.lb,ENTIFYALL ITEMSTHAT APPLY_ ___._r : : I__ ,- James Rodgers , i €,ars on conveyance document Buyer 2-Name as appears on conveyance time t ,Li 310 S.West Mill Street __ Address(Number and Street) Address(Number and Street) Patoka, IN 47666 JUL 3 0 2020 E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO' . I . •F TwaktilppoUNTY AUDITOR YES NO CONDITION ES NO CONDITION ❑ 0 1.Will this property be the buyer's primary [r Li 3.Homestead residence? Provide complete address of primary •��i,__. ,r Energy Hea ' g/Cooling System residence,including county: 310 S.West Mill Street ❑ Z 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device _Patoka, IN 47666 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El ❑ 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 ❑ 0 9.Would you like to receive tax statements for this complete address of residence being vacated, prope e-mail?(Provide co n ormation including county: ow.Please see instructions for more in ation. Not available in all counties.) Address(Number and Street) rQL1. 4AC-10 2� ooQ 3-C-6 —01 • City,State ZIP Code County Prima roperty owner contact name E-m License/ID/Other Number