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HomeMy WebLinkAboutHomestead_Buehner INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Ay. .. ...k.� �- k �'. � >�.�� '�sz �-�r �"-t t-a,.�",y.,.'fv'' � y�: k s i+,.c �.- ;c�:n�, -v n �. P tEPAttR - �..,_ FW "V ; = .,.*R . , ,.. max , . . Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title. Inc. Address(Number and Street) E-mail 1� '} *;m �-s..._x.Fm�`..�s.. a.�� aex,�� a.>,' .w:� � a.� �.-. � '.�.,s'. "^r1.. b t �[ S],i":l�L',1Z(S/,GaNka,,naar,...,.,s �,....: :;x:�' t Js'I;.,.-_f..: i st-". .c :x. ,_«�:{•.ttc `z.' '`_ ti.e` ri <.,K.P .�x AXie,<:`in,=..� ' Connie J Hurt Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 900 F Vine St. Address(Number and Street) Address(Number and Street) Fort Branch. IN 47648 City,State,and ZIP Code City,State,and ZIP Code Telephone Number ,\ 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature Seller Signature of Seller f nnnie J.Hurt \ 2- I P%7!9' Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name o(Seller Sign Date(MM/DD/YYri) �B R SG .."tg IrS) VI .,IG 1tralg;traN tinifit TA DEDtrdfQNS. )I?'NIIFY ALI,IT,:E3i�lSrT.TAT?PP t Kenneth R.Buehner Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 8087 S 400 E Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 City,State,and ZIP Code City,State,and ZIP Code 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.Dec 21 2°20 YES NO CONDITION YES NO CONDITIONir--'. 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 900 F Vine St. ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ p 6.Hydroelectric Power Device Fort Branc IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State Z 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 ❑ 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) 26-19-18-304-000.037-026 City,State ZIP Code County Primary property owner contact name Email Number License/ID/Other Number