Homestead_DilbeckI�'D4�\A SALES DISCLOSURE F'OR�I SDF ID SDO ID 759479 , Pa�
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Hollv Perkins Cioser
Preparero(rheSallsDisclosvreFarm 19tle
7202 N. Shadeland Avenue Hocker 8 Associates
I Addrev(Numberond5nre[J Company
Indianapolis, IN 46250-
The Secretary of HUD
Seller ]- Nameas aypears on ronveyonce dacument
40 Manetta SVeet
A ddres (Number oM SvretJ
Atlanta, GA 30303-
Ciry.Smte. andZfP Code
as
iftany Renea Dilbeck
BuYer 1 -,Yame as appean
am ndpe PI
Se1/er2 - Name as apyeon on wnveypnn dorument
Addrns(Num6erandSUeH)
mdz�vtoa<
�,1 hereby certify tha[ [his Sales Disclosure, [o [he bes[ of my knowledge and belief, is [rue, corzect
by law, and is prepared in accordance with IC 6-11•5.5, "Real Property Sales Disdosure Act".
Signomrt o(Seffer
l.L
6uyer 2- Name m' uApears an mrtveyonre dxumen[
Addre.cv (Numher and Svttt�
Princeton, IN 47670.
, [iry.5mttondZlPCode Ciry.Smt¢
TXE 5.1LFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAM UEDUC['IONS FON
VFS NO COYDITION
X❑ ❑ 1. Will this property be [he buyer's primary
residence? Provide complete address of prima
residence, including county:
7802 W CAMBRIDGE PL
Address (NUmSer end StreerJ
Princeton, IN 47670 GIBSON
[7ry.5mmZl➢COde Cavnry
�� 2. Does the buyer have a homestead in Indiana m 6e
vacated for this residence? If yes, provide
complete address of residence being vacated,
intluding coung�:
Add�(NumberanES[reeQ
Ciry. Sm¢ ZIPCede Counry
THAT APPLV.
YES NO CONUITIOA
�x � 3. Homestead
��a eatlng/Cooling System
� Q 5. Wind Power Device
� Q 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Heating/Cooling Device
� Q 8. Is this property a resideniial rental property?
� Q 9. Would you.like to receive tax statements for this
property via e-mail? (Provide contactin�ormation
6elow. Please see insirucdans for more informadon.
Not available in afl counties.J
�- // /�/�/-Ga�• SS�_oa7
R:mn..��mrorrvawnefmnmttnome E-mail
Under penal[ies of perjury, 1 hereby certify [ha[ [his Saies Disdosure, [o the bes[ of my knowledge and belief, is [rue, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-11•5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homes[ead Deducdon is
Fnn[ed Legal
Sign
SignaNre ofduyer2/Spause
Pnn[edLegolNameoJ8uyv2/Spouse S{gn0a[e(MN/DD/YYYiy
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Los[Sd(gieso�BuyerlDriver's Sm[e Las[SOjgiGSOfSocial5ecuntyNumber LastSdigi[so/Buyerl/SpouseDriveri Srare LastiDigi[saf5ocialSecurity
Lirense/!D/OtherNum6er Number License/!D/OtherNumber