HomeMy WebLinkAboutHomestead_BatesI�DL�YA S.�LES DISCLOSURE FOR�f
D. PREPARGR � � � - - � -
Kimberty A. Lewis
, Reyarero/rhe5clesOwlosvreFom
Princeton, IN 47670.
CiN, Sm:e, and ZIPCoCe
E.SELLER(S)/GRANTOR(S) --
John M. Bates
Seller 1- Name as oppevrs w mnvqnn�e drcvmm�
9921 W 575 $
Address (Number and SaeetJ
Ov+ensville, IN 47665
Ciq; S:atG andZlPCode
_ ��
SDFID
;
SoOID 465710
Office Manager
TiUe
Bmadvray Title, Inc.
Nume os appevrson ronv yvnce dorument
RCErus (A'um btr ond Svee[)
Sm:c.onA7.IPCode
Under penalties of perJury, 1 hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, corred
and comple�as,required by�and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure AcC.
.c� � w����vcvu� � �claJ _
:hristopher D Bates
Bu�r� ]- M1'amr ai aPpa+rs nveya.
01 S. Main
dddres (Kom.ber and SveetJ
'atoka�, 4i66&
Ciry, Smre. and ZIPCaCe
TNE SALES DISCLOSURE:ORM MAY BE USED TO APPLV FOR CERTAIN DEDURIONS FOR TNIS
x0 ❑ 1. Will this properry be the buyer's primary �
residence? Provide complete address of prima�
residence, induding munry:
608 S. STORMONT
AAdres (Num6rr and S:ree[J
Princeton, IN 47670 GIBSON
Clry. Smce ZIP Code Counry
�� 2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
induding munty:
Addr¢t (A'um b�r ond Sare:)
Ciry.SmreZlPGOde Counry
SlqnvNreofSeller
Buyrr 2� Name usappevrson cenvtwnce datvment
Addrac (Nu mbrr and SneetJ
C1ry.5lete, and ZIPCa1e
❑x ❑ 3. Homestead
APPLY.
ABPLY
eating/Cooling System
❑ Q 5. �Vind Po�ver 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 tar statemenu for this
property via e-mail? (Provide cnnmctinformation
below. P(easesee instrucdons jor more information.
Abt availa6le in all counties.)
�9G-/a-��-�5� aaa.G�S-6a�
Rimaryo�Derry owno canruct nume 6'�mail
Under penal[ies of perjury, I hereby tertlfy that this Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure AcC. (Note:
Spouse informatlon, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deducdon is
being filed.) , , �
S � �
Signamre o/BV}�er1/Spouse
Sign Oa[e (K4/DO/YY1'p
Las[SdigirsofBuyer2/SpaureDnver's Smte GastSDigicso(Sodo(Secunry
Number Lirense/!D/OrherNUmber