HomeMy WebLinkAboutHomestead_BowyerINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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�harlene Saloietra Title Aqent
Preparu a(!he Sal60iscl�ure Form Ttle
600 N Weinbach Suite 410 Foreman Watson Land Title LLC �
Address (Nvmber ond Sbee[) Company
Evansville. IN 47711
E-mail
,E:'SECI.ER S'GRAN�TOR�S _ �r.0 . r, �'�_� �. -"�......... : r, '. 0 7 ��:F �'� ..r�.. �''��:_ -'�s,�3�� -,�"�����_�.3.:�--�
Thw FstatP of BP�h; � iny� D�o��h by her Persnnal Renresentative
Selier 1- A'ame as oppe�rs an conveyana documen� Seller 2- Nome ar appeurs am m�veyance document
524 E State St
Addreu (NUmber and SaeeQ Addr¢s (NUmber and Sbeet)
Princeton_ IN 47670
E�mail Tefe honeNUmber E-mail
Under penalties of perjury, I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
andntomple[e as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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' naNreofSeller I Signamreof5e/ler
Juanita M Coomer 03127/12
RinredA'ameo Seller SionDalelMH/UO PnnredNameo(Sefler SionDare HWUD
_. _ _ ..,. .. .
;,F.�B � GRe\N;TEE S ;.APPLICr1TI0N�E0R'PROBERT.YT.4X��DEDUGTIONS-4DENTIFYAtiL.ITEMS;THAT'APPL'Y._� . , - .. �_;:.:-��
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Timoth S Bo er
Buyu]-Nameasap anronvevanredotument 8uye�2-Nomeasappmrsonmmeyancedo[ument
merson St
�Addras (NUmber und Stree[) Addrgs (Number and Stree[)
Princeton.IN 47670
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E-mail TeleohoneNumber E-mail
THE SALFS UBCLOSURE FORM MAY BE USED TO APPLY FOR CERTdIN DEUUCfI0N5 FOR THIS PROPERTY. IDE.YfIFY.V.L OF THOSE TH.1T dPPLY.
YFS CONDITIOY I .0 COYDITIOY
� 1. Will [his property be the buyer's primary � ❑ 3. Homestead
residence? Provide comple[e address of primary , o ar nergy Heating/Cooling System
residence, including county:
� Q 5. Wind Power Device
Address(NumberandStreet) ❑ ❑✓ 6. Hydroeiectric Power Device
arv,sm�ez�r ee co��ry � � �� Geothermal Energy Heating/Cooling Device
� 2. Does [he buyer have a homestead in Indiana to be � ❑� $• �s this property a residenrial ren�al property?
vacated for this residence? If yes, provide ❑ ❑� 9� Would you like to receive tax sCatemenCS for this
complete address of residence being vacated, property via e-mail? (Provide contoct informotion
induding county: 6elow. Please see instruc[ions for more informadon.
Nat available in all coundes.)
Address(NUmberand5treet) ae�-la-d�-ao�000� ��►-�a$
Ciry, SmreLPCade Counry
PnmaryPmperty owner conmaf nome E-maif
Under penalties of perjury, I hereby certify [ha[ [his Sales Disdosure, [o the best af my knowledge and belief, is true, correct
and complete as requir by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informatio ocial Security and Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
being filed. �
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5(gnature afBUyer1 S(gnamre ofBoyer2/Spouse � �
LastSdigi[sofBuyerl/SpouseDrivers State LastSDigi6of5a'ial5ecuriN
Lirense/lD/OtherNum6er Num6er License/lD/OtherNumber