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HomeMy WebLinkAboutHomestead_Leary INDIANA SALES DISCLOSURE FORM, SDF ID: Page 2 D_PREPARER Roman Ricker Partner Preparer of the Sales Disclosure Form Title 219 N. Hart Street, PO Box 13 Partenheimer, Kinkle&Ricker -Address(Number and Street) Company Princeton, IN 47670 E-mail SELCER(S)/GRANTOk(S) w_: _._ .__, Tom F. Cutsinger Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1837 Outer Lake Road Address(Number and Street) Address(Number and Street) Princeton. IN 47670 City,State,and ZIP Code City,State,and ZIP Code f 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 co ete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signs re of Seller Signature of Seller Tom F. Cutsinger 11/25/2020 Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name o Seller Sin Date(MM DDJYYYY) F;BUYER(S)/GRANTEE(S) APPLICATIONFOR PROPERTYTAXDEDUCT:IONS ;IDENTIFYALL_I IM TH ' 1 LY I Steven A. Leary Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 6531 Evening Song Lane -- DEC ,, 2270 Address(Number and Street) Address(Number and Street) Owensville, IN 47665 )f4' -,�jr� ;`` City,State,and ZIP Code City,State,and ZIP Code % "" 7-'t"•viAAA E-mail Telephone Number 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 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1837 Outer LakeRoad ❑ 05.Wind Power Device Address(Number and Street) ❑ z 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 Ab-Q- ' k 30D..- o02 . 112 -0 D3 Primary property owner contact name E-mail Number License/ID/Other Number