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HomeMy WebLinkAboutHomestead_Brines (3)INDI.�\A SALES DISCLOSURE FOR\1 SDF ID ' R'eparero(the5alnDudosvreFarm 226 W. Broadvray AdJrm (Number and Sure[J Princelan, IN 47674 Ciry, Smft, ond LPCOCe E'SELCER(SIYGRANTORfSI� . ' . 4> .:_� Chadotte A Nesbitl Seller ]- A'ome es ap�eors an �vnveyance daument 7208 N. Main St. Address (Numbrr ond5uett) Princeton, IN 47674 �� .�-� SDO m 464911 Page 3 TiJe Broadway Title, Inc. Campany .. .. ..� �Y._ _. _ . . � • _ - ��• . . . .. Sefler2 � Nume as uppmrs on mm•e�nnce da'umen� Addrrs (A'umbrr and SveeQ G'ry, SmM, anAZIPCode Under penalties o(perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belie(, is true, correct ' com lere as required b la�v, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". ��� Q. �� I R. N�. �l�'..-�i- 03- w-� , b � Nathaniel J Brines Euyer 1- A'ame m opymrsan Prince�on, IN 47676 Ciry, Smh. ond no �,p�e THE SALFS DISCIASURE iORM MAY BE USED TO APPLY FOR CERTAIN DEDUCf10N5 ❑x ❑ 1. Will this properry be the buyer's primary l` residence? Provide romplete address of primary residence, including county: 1208 N. MAIN ST. AAdress (NUm6cr and So-tt[J Princeton, IN 47670 GIBSON Ciry. Sm¢ ZIP Code Counry X� � 2. Does [he buyer have a homestead in Indiana m be vacated for chis residence? If yes, provide complete address of residence being vazated, induding county: 7301 S 200W Addrerz(Num6erandSbeeQ Princeton, IN 47670 Ciry,SmreZfPCOde GIBSON covnry Melinda J Bnnes � euyer 2� Name asappears on Addras(Numbe�andSVttQ Princeton, IN 47674 Ci.y, Smtq and LPCOQe APPLY. ❑x ❑ 3. Homestead eating/Cooling System � Q 5. Wind Power Device � Q 6. Hydroelectric Po�ver Device � Q 7. Geothermai Energy Heatlng/Cooling Device � Q 8. Is this property a residential rental property? ❑ Q 9. LVould you like to receive tax swtemenn for this properry via e-mail? (Provide contact informarion below. Please see insvucrions for more informadon_ Not ovailable in a!I counties.) �'G-/a-aG -/oS� oa�.�o.T Ua� G'.mail Under penalties o(perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belie(, is true, correct and complete as required by law, and is prepared in accordance with IC 6d.1-5.5, "Real Property Saies Disclosure Act". (Note: Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducrion is being filed.) � _ .t�6�.�'�,.�_ ��Y�.�.D, k�-nUI� Signa reo/Bvyerl " � Signamreof8y�e Spouse .l ����� ��,•�� s CJ3�Zc/70/G (�121� tl ��ri CL�.S _ a1� adln PnnredLv,golNomeo(BU}�erl 5(qnDaufHM/OM»7 iry � License/ID/OtherNumber h'umber Lirense/lD/OrherNumAer