HomeMy WebLinkAboutHomestead_Fugate (4)r '.
lDIANA SALES DISCLOSURE FO
.PREPARER .'
4av M.�urulev
areparero(theSa/es DisclosureForm
15 N. Church Sireet P.O. Box 7
Addras (Number and StreetJ
\
=ort &anch.IN 47648
City, StntG and ZIP Code
CRI I FDfCl/CDANT/lQfCl'� . _
VadPn LPP Davis
Selfer I- Name as appevrs an conveynnre dacument
:t'tc E 200 S
Addrers (NUm ber and StreetJ
Princeton IN 47670
Ciry, Smr¢ and ZIP Lode
ID:
Attomev No. 4759-26 •
Titfe
Law OKce of Rav M. Drulev
Compony
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_ . " . -' ". ' _ �, r i . . . . ' . . . ..-. . .. . .
Judy Kay Davis
Seller 2- Name as appears om m�veyvnce dxument
Address (Num6er and Stree[)
Princeton IN 47670
Ciry, Swtg and Z/PCode
TrlanhMe Numhar E'-mail
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co �iple[ s required by law, a d is prepared in acwrdance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
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S�o(Seller � 5(gnat o(Seller
Buyerl -Nameasypp�rsonronveyancedocumen[
THE SALES �ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIY DEDUCI'IOtiS FOR
!ES NO CONDRION
Q � 1. Will Chis property be the buyer's primary
residence? Provide complete address of F
residence, including county:
�ca c �nn c
Addrus(NumberondSVeeQ
Princeton IN 47670 Gibson
Ciry. Srute LP Code County
� Q 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
5[ote
Lounry
mnveyance documen[
Address (A'umber and StreetJ
Princeton IN 47670
Ciry, Smte, and LPCode
IDE.YTIFY ALL OF 4HOSE THAT APPLY.
�✓ � 3. H
Heating/Cooling System
� Q S. Wind Power Device
� Q 6. Hydroelectrit Power Device
� Q✓ 7. Geothermal Energy Heating/Cooling Device
� �✓ 8. Is this property a residenrial ren[al property?
� �✓ 9. Would you like to receive tax sta[ements for this
property via e-mail? (Provide rontac[ informadon
below. Please see instruc[ions for more informatlon.
Not available in all coundes)
ronmatname
Under penal[ies of perjury, l 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-S.S, "Real Proper[y Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are nat necessary if no Homestead Deduction is
License/!D/O[herNumber
� n An x
` $qnotureo(Buyer2/5 �
�ir�ici�y ,t n PP
PnntedLegalNameo(
Las[ 5 digiGS of Buyer2/Spouse Driver's Smte L t Digits ofSocial Securiry
Number License/ID/OCherNumber