HomeMy WebLinkAboutHomestead_Basham (5)I�DIA\ASALES DISCI.OSURE FOR)1 SDFID SDOID 474899 Page2
D.PREPARER
Kimbedy A. Lewis Office Manager
Repvrzr o(the Sc/es Diulorvre Fom Title
226 W. Broadway Broativray 7itle, Inc
AdJras (Number oM 5✓cclJ
Randall J. Sands Pamela A. Santls
Se!!er 1- Name as oppeors om m�vrwnre Jucvment Sel�erl- Nume os vppean om m�wwnce dmvmen!
802 E. State Si. 802 E. State St.
Addrrss (Number ond SvretJ ACdrttt (Number and SvreQ
Princeton, IN 47670- Princetan, IN 47670.
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Under penalties of perjury, 1 hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and comple e as re �red y law, d is epared in accordance � h IC 641-5.5, " eal roperty Sales Disclosure Act".
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Wanda
lfy JL. Prince
dddrem (Number and Sver[J
Princeton, IN 47670.
. City.Sma.and21PCa1e ,
as appears on convevnnce dxumrn[
AAdro�s /Num6er ond Son�)
Clry, Smte, and ZIPCode
THE 5.1LF5 DISCLOSLRE FOAM AtAY BE USED TO APPLY FOR CERT,ti.Y DEDURIONS FOR THIS PROPERTY. IDENTIFI' ALL OF THOSE TNAT APPLY.
x0 ❑ 1. Will this property be the buyer's primary
residence? Provide mmplete address of primary
residence, including county:
802 E. STATE ST.
AAd�en (Number and S[reet)
Prince[on, IN 47670
Ciry, Smce ZIP Cade
� � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being varated,
induding rounty:
GIBSON
Caunry
Addras (h'vm6rr anA 5aec:)
Ciry.SmteZ(PCafe
❑x ❑ 3. Homestead
�� 4 S<ila rgy Heating/Cooling System
� Q 5. 4Vind Power Device
� Q 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Headng/Cooling Device
� Q 8. Is this property a residential rental property?
� Q 9. 4VOUld you like to receive tax statements for this
properry via e-mail? (Provide conmct informocion
below. Please see instructions%r mor'e in(ormation.
Not available in all counties.J
o?�-�a-v�-/�3-va�?. s-aa�
car.mclname
!'mail
Under penalties of perjury, 1 hereby certify that this Saies Disdosure, to the 6est of my knowledge and belief, is true, correc[
and wmplete as required b}� law, and is prepared in accordance with IC 6-1.1•5.5, "Real Property Sales Disclosure AcC. (No[e:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deduction is
bjging filed.] - �n-5
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