HomeMy WebLinkAboutHomestead_Whitehouse1\DIA\.\ $ALES DISCLOSURE FOR\1 SDF ID SDO ID 678889 Page 2
D.PREPARC•R �
��Samantha Culsinger
R'eyarer of�he Sc/es Dudnsure form i�tle
226 W. Broadway Broadvray Tiile, Inc.
.4JJrres (NUmLu unASUCet) Campony
Prince�on, IN 47670�
E. SELLER S GRANTOR S
�arry F Rimmer Faye C. Rimmer
SeOer ]� Name usuppeun om m�veyumr Jnvmm� Srf/rr1 � Nome as upyevn wr mnvewn<e da'umrnt
7172 N Old Highway 41 N 1172 N Old Highv2y 41 N
.iCdress(Numberand5ore[) Addrtsr(A'umberandS:neQ
Princeton, IN 47674 Princelon, IN 47674
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Under penalties o(perJury, 1 hereby certify that this Sales Disclosure, to the best o(my knowledge and belief, is true, correct
and com ete as re uire��,.���y la�v, and is prepared in accordance with IC 6-i.l-S.S, "Real Property Sales Disclosure Act".
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F.BUYERS GRANTEES -APPLICATIONFORPROPERTYTtUCDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Rex S Whitehouse Donnabel Whitehouse
Buperl �A'omensappmrsonrnnvryvnredavmen: Buyer2-Nameusapptarsomm�ve�cncedxummr
7585 S 45 E 7858 S 45 E
AdAress(h'umberonJSVx[) Aedress(NumbrrondS<ree�)
FL Branch,IN 4764& Ft. Branch,IN 47648-
Ciry.Sm.tt. vne LIPCOCe Ciry. Stcre, ane ZIPCOAe
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THE SALES DISCLOSURE FORN MAY BE USED TO APPLY POR CERT.11N DEDURIONS FOR THIS PROPERTY. IDE.YTIFI' ALL OF THOSE TMAT APPLY.
YES NO COYDITIOV \'FS NO CONDITIO`1
Q ❑ 1. Will chis properry be che buyer's primary ❑x ❑ 3. Homestead
residence? Provide complete address of primary � Q 4, Solar Energy Heating/Cooling System
residence, including tounp�: ❑ �
1172 N OLD HIGFNJAY 41 N 5. 4Vind Potvef Devl[e
edo.ess�n�mSP.onasa���) ❑ Q 6. Hydroelectric Power Device
Princeron, IN 47670 GIBSON � � 7, Geuthermal Energy Heating/Cooling Device
Ciry, Smte ZIP CWe Counry
XQ � 2. Does the buyer have a homestead in Indiana ro be � � 8. Is this property a residential rental property?
vacaced for this residence? If yes, provide ❑ Q 9� �Vould you like [o receive tax statements for this
mmplece address o(residence being vacated, property via e-mail? (Provide contact in/'orma[ion
including county: below. Please see instructions%ar more information.
7858 S a5 E Notavaifable in all counties.)
Address (A'umhzr ar.d5um:)
Ft. Branch, IN 47648 GIBSON �� ^ /��a/� /� � �/ � � 6a �
Ciry.RntrZlPCode Counry ' •U
R'imaryproperry owner car.ma name !'-mai7
Under penal[ies of perjury, I hereby certi(y that this Sales Disclosure, to the best o(my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance tvith IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Ac[". (Note:
Spouse informa[ion, Social Security and Driver's License/Other num6ers are not necessary if no Homes[ead Deducrion is
being filed.) /'/ )� ,��
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Lirensr/ID/OtherNumber Number License/lD/OrherNUmber
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