HomeMy WebLinkAboutHomestead_Lasley (5)INDIANA SALES DISCLOSURE FORM
Rav M. Drulev Attornev No. 4759-26
Prepvrer of rhe Saler D"udosure Form T�e
Law oKce of Rav Drutev
Seller I- Name os appears om m�veynnce docummt
4SO W. S1a1r. Stfeel
Address (NUmber and SRre[J
Prinr.
Nameasappmrson ronveyvncedocumen[
Addrat (Number and Street)
City.Smte, andZlPCode
Under penalties of perjury, 1 hereby certify [ha[ this Sales Disdosure, to the best of my knowledge and belief, is true, correct
a�d com�le4e as required by I�w>,and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclomre Act".
Address (h'umber and StreetJ
5lalG and ZIP Code
TNE SALFS DISCLOSURE FOM7 MAY BE USED TO APPLV FOR CERTAI.\' OEDUCfI0Y5 FOR
Q � 1. Will this property be [he buyer's primary
residence? Provide complete address of �
residence, including county:
994 N Gibcon
Addrus (Number ond Strret)
Princeton IN 47670 Gibson
Liry, Smre ZIPCade Counry
Q� 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
tomplete address of residence being vacated,
induding county:
5668 E. State Road 64
dddrus(NumberandSVeeQ
Francisco, IN 47649 Gibson
Ciry.5mte7JPCOde Counry
Signamrea/Seller
1TEMS
Buyer 2- Name as apymrs on ronveyonre documrse
Addrus(Numberand5bee[)
Ciry, Smtg and ZICCade
THOSE TNAT APPLY.
Q ❑ 3. Homes[ead `a
� n 4 Solar Ener ' g/Cooling System ��b �
❑ ❑J 5. Wind Power Device
� Q✓ 6. Hydroelectric Power Device
� Q✓ 7. Geothermal Energy Hea[ing/Cooting Device
� Q✓ 8. Is this property a residential rental property?
� Q✓ 9. Would you like to receive tax s[atements for this
r/�y���l,}�rty via e-mail? (Provide conmct information
w. Please see instruc[ians jor more information.
1 � � �� ot ailable in all mun[ies)
�-/a-�G- �i- o`3-oao. lo� ca a�
c.�',.��.�. �r��om. nwner ronmrr nome E�mail
Under penalties of perjury, t hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in aaordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse informa[ion, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deduction is
beinR fj�ed.) `
' YI m_.(< <J\ � �.J
� ��
Signamre afBUyeA Qqnoture o/BUyer2/Spouse
G
Pn'n[ed Legvl Name o/Buyel2/Spavse S{gn Dare (NM/nU/YYY17
LastSdigicsojBuyer2/SpouseDriver't Sta[e LastS�igiuo�5ocialSecuriry
License//D/OtherNum6er Number License/!D/OtherNumber