HomeMy WebLinkAboutHomestead_Hurt1\DIANA SALES DISCLOSURE FORA1 SDF ID SDO ID 713867 �� Paoe �
D.PREPARER "
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laura Boyle Mortgage Loan OKCer
�eparer o/Ne Sales Disdosure Fortn 75tle
1 Theater Drive Evansville Teachers FCU
Addrest' (Num6er and SVeeIJ Campany
Evansville, IN 47715-
Ciry.Srate, and ZIPCade ielephorte Number E-mai/
E. SELCER S GRANTOR S
Ella Maxine Mason
Seller I- A'ame as ap➢�rsw mmryance dxu .nmt $ellerl- Nome as opptars on ronve}nnce dorumm[
2507 E. Top Hat Road
AQdress (NUmber and5trre[J Addre.¢ (Number and Street)
Princeton, IN 47670-
Ciry, Sta:e and Z/PCode CSry, Sm:e, and ZIPCode
Tele haneNUmber E-mail Te/e honeNum6er E�mvil
Under penalties of perjury, 1 hereby cer[ify [ha[ Ihis Sales Disdosure, [o [he bes[ o(my kno�vledge and belie(, is [rue, correc[
and complete as required by 1 tv, and is prepared in accordance tvi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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�%ignatweo(Seller . Slgnamreo(Sefler
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. UYER S GRAN7' E S-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIEYALL ITEM115 THAT APPLY
Stacy M11. Hurt
Buyerl�Nameus eursomm�veyonttdocvment Buyer2-Nameasappmrsont'anvry•mcedacvmrnt
Addres (NumEer andSVeet) Addi¢s (.qumbe� and SReet)
Princeton, IN 47670-
Smte.
Tele aneNum6er bmail Tele hone,YUmber E'�mail
THESALESDISCLOSUREFOfLNMAYBHUSEDTOAPPLYFORCERTAIYDEDURIONSFORTHISPR . YTIFI'ALLOF TdPPLY.
1'FS NO CO\'DITIOY YES NO CO,�'DITIOY
x� � 1. 4Vill [his properry be the buyer's primary �X � 3. Homestead
residence? Provide complete address of p' a 4 y ea[ing/Cooling System
residence, including couniy: ❑ �
2507 E. TOP HAT ROAD 5. 1Nind Power Device
Address(h'umberandStreet) ❑ Q 6. Hydroelectric Power Device
Princemn, iN a7s70 GieSON � Q 7, Geothermal Energy Heating/Cooling Device
Ciry, Sm�e ZIPCOdr Counry
�� 2. Does the buyer have a homestead in Indiana to be � �$� �s this property a residen[ial rental property?
vacated for this residence? If yes, provide ❑ Q 9.'vVould you iike to receive tax statemenis for this
comple[e address of residence being vacated, property via e-mail? (Provide contact information
induding county: 6elow. Please see insRUCdons jor more infarmation.
Not availa6le in all counties.)
Addraz (h'umbermd Strre[)
Ciry.SrnuZlPCOde Counry �+/� /�'/�~oa/•��� _ O��
Pnmarypropertyownerrnn:ottname E-mail
Under penalties of perjury, 1 hereby cer[ify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, wrrec[
and comple[e as required by law, and is prepared in accordance with [C 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduc[ion is
being fyled.) �
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. Signamreo( zr1 Signamreo/Buyer2/Spause
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n[edLeg N�l ameafBuyer] Sign�ace(a.V/OD/YYYY7 FnntedLegalNameo/Byer2/Spouse SignDate(.Nx/DOM»j
LastSdigilsofBuyerlDnver's State Las[SDigiuo(Social5ecunryNumber LostSdigi[so/Buyer2/SpouseDriveis Smte LastSDigitso(Social5xuriry
Lirense/lD/OtherNum6er Num6er Litense/fD/OtherNumber