HomeMy WebLinkAboutHomestead_BockholdIIfDIANA$ALES DISCLOSURE FORM SDF ID: Pa e 2
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SHER� L. GREENE
Preporer o/Ne Salu D'udasure Fo,m Title
1922 E OHIO ST
�+dress(Num6erondStreet) Campany
INCETON IN 47670
E-mail
Ez`SEliL'ER S ' GRANTOR S S . `"`'_-�. .r <; p ; "-`-` �_== " '-',�.. _ . '� ` =t � - ' -
IANIf:F SI IF M(;R f HINFV MIC�HAFI R. RRFWSTFR, 11
Seller 1- Name os appears on canve}nnce document Seller Z- Name as oppears an conveyvnre document
41'i F OAK ST 413 E nAK ST
Address (Number and So-eeQ Address (Number and Stree[J
PRINC:FTON IN 47670 PRINCETON_ IN 47R70
Ciry, Stote, and ZIP Code Liry, SW te, ond ZIPCode
E�mail
Under penaldes of perjury, I hereby cerdfy that this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC� 6-1. 5�, "Real Property Sales Disclos re Act".
�a�n �C �.�XUmi1W �%�,�. f/ 1
Si ofreo(Selfer Signamreaf5el/er
IANIC Sll M. I HINFV 09/ O � /901? MI •HA R BR W4T R II 0/ 07 / 019
PnntedNameo SNler Si nDa[elMM D PnntedNameo Seller Si +IDa[efMM 0
_ _ _ _ . ._ ._ _ _ ' _ - .__. . _. _ _ : _. . .
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F. BU `_' 'FPLICATION�F.OR PROP:ERTY_TAX=DEDUCTION =' -' LLiTEMS•THAT APPLY,.0 _ ._ ,> '�'s:i:
K R. B IN LD
Buyer]-Nameasappea onveyvnreducumen[ u er2-Nameasappmrson anredocument
E I ARY 908 N SEMINARY ST
Addrecs (Number ond Stree[) Addresx (Num6erand Sbee[)
PRINCETON IN 47670 PRINCETON IN 47670
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E-mail
THE SALES UISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.�' DEDULTIOYS FOR TNIS PROPERTY. IDEYTIi'Y ALL OF THOSE THAT APPLY.
YFS NO CO\DRION CONDITIO�
0 ❑ 1. Will this property be the buyer's primary 3. Ho
residence? Provide complete address of primary � � 4, Solar Energy Heating/Cooling System
residence, including county: � � 5. Wind Power Device
onA nl SFMINARY ST 6. H droelec[ric Power Device
Addrecs(Numberand5treet) ❑ 0 Y
PRINCETON IN 47670 GIBSON � � 7. Geothermal Energy Heating/Cooling Device
Ciry. Smte ZIP Cade [ounry
� 0 2. Does the buyer have a homestead in Indiana to be � � 8• �s [his property a residential rental property?
vacated for this residence? If yes, provide ❑ � 9• Would you like to receive ta�c statements for this
complete address of residence being vacated, property via e-mail? (Provide contac[ information
including county: below. Please see instrucdons for more information.
Not availa6le in all coundes.) `'� �J
Addres(NumbomdStree[) �i/_ I'] �O/ _(�`J�Op3,(p(�7-(,�pCV
O�lil— Cl' (O '")
Ciry, Smte ZIP Code Lounry
Pnmaryproperry owner contact name E�mail
Under penalties of perjury, 1 hereby cerdfy 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 accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". [Note:
Spouse informa[ion, S c' ecurity and Drivers License/Other numbers are not necessary if no Homestead Deduction is
being(�le�d/.�) /� J � � g
/�� l`.`K 1�]c,. 0. ��t �AY�I�l.'a'G.�C
�namre o/Buyerl Signamre ofeuyerl/Spouse
F R 80f KHO n n�i`7 izm� T�n�e �� anr�uni n roi�7 izoi�
License/ID/O[herNum6er Num6er License/ID/O[herNumber