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HomeMy WebLinkAboutHomestead_Gibson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ,<D PREPARERS .__ r« ----. -n._.�-.gt.. ':,..;�Ya_:_ fgVgRMtg Mg qi . g .. g. ._ .r..Vt.__ Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 E-mail -sr:;��..�,,.,� nc- i f M s `ti.� .,2,._ a; v ....� �; `� z i ,.�z ii 3,� �. ' fysc �'. �. _. E SELLER(S)j�RAN3'OR(S),��,_. .�__,��. _.x,�s . ,��- � � .�, ��-�-��;.�� _�... � .�,:�� _�_ �. ��- � �;_.:z< ._�:�� ��>_�:;� Nancy A Langworthy f/k/a Nancy A.McFetridge Seller 1-Name as appears on conveyan a document Seller 2-Name as appears on conveyance document 2016 Boulevard PL -/0 /a 3 5 t .C 1/j N j Address(Number and Street) T. !/ Address(Number and Street) Princeton. IN 47670 ri ot/of L-S(() rit `77 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 a .r uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". di"� '�Uri ignatureof elle Signature of Seller Nancy A Langworthy f/k/a_Nancy A McFetrige f t//( Printed Name of Seller Si n ate✓(MM/DD YYYv) Printed Name ofSeller Sign Date(MM/DD/rrYY) WIRIUMagatElagAVIrenitaMMORAMaltagCTIONgiTI}E)!7TMWITEMS.TFIAT_APPLY. I ,n _ Shawn M.Gibson Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2338 W 400 S Address(Number and Street) Address(Number and Street) Princeton, IN 47670 City,State,and ZIP Code City,State,and ZIP Code FILED Telephone Number E-mail . Telephone Number Oct 29 2020 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION /I, t �1 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead GIBSON COUNTY. AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 2016 Boulevard PL ❑ 05.Wind Power Device Address(Number and Street) ❑ El 6.Hydroelectric Power Device Princeton. IN 47670 Gibson ❑ Q 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) 26-12-18-304-000.988-028 - City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number