HomeMy WebLinkAboutHomestead_BullockGene D. Emmons
Preparer o(rhe Sala Disclosure Form
TiUe
Trusrivorthv Land TiUe Co.. Inc.
lompony
N
Evansville. IN 47715 _(
E-mail
Selfer 1- Namtas apPmrs an mmryance dxvmm[
.lulie A. Stallings
Selfer 2- Name as apymrs om m�vtyvnoe datumm[
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, corcect
and tomglete as required by law, and is prepared in accordante with IC 6-1.1-S.S, "Real Property Sales Disclosure Ad".
Buyer 1 - Name
TNE SALES OISCLOSURE FOILM MAY BE OSED TO APPLY FOR CERTAI\
YES NO [OFDITIOY
Q❑ 1. Will this property be the buyer's
residence? Provide complete adc
residence, induding county:
1195 S. Srminarv StrPet
ACdrm (Number and Stree[)
Princeton.IN 47670
Ciry, Sm[e ZIFCode Counry
� Q 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vaca[ed,
induding county:
Addrezt (h'umber and Street)
Ciry,SmteZlPCode Counry
� A� • �c4..QSL-LY'C]<i
Si namr o(Selfer
ALL ITEMS THAT APP. LY- :�_- �"
Buyer 2- Name as appmrs on ronvrymce dxument
(,VUm6nand5tree[J
[iry, Smte. and ZIPCOde
5FS NO CO\�ITIOY
Q✓ � 3. Homestead
❑ ❑✓
❑ ✓❑
❑ ❑�
❑ ❑�
System
S. Wind Power Device
6. Hydroelec[ric Power Device
7. Geo[hermal Energy Headng/Cooling Device
8. Is this property a residentlal rental property?
❑ ❑J 9. Would you like to receive tax s[atemen[s for this
property via e-mail? (Provide contactinformonon
below. Please see insdvctions for more informadon.
Not �avp ila6le in all coundesJ
oT� /�-/�` =o�0a3 - �. //03 - D��
ron[ac[name
E mail
Under penalties of perjury, 1 hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and tomplete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclasure Ac[". (Note:
Spouse informalion, Social Security and Driver's License/O[her numbers are no[ necessary if no Homestead Deduction is
Xein filCd.� � �L�
Sig am�eo/Buyerl SignaNreofBuyer2/Spause
LastSdigitso(Buyer2/SpouseDnvefs Smre LanSDigitsa(Social5ecurity
license/!D/O[herNum6er Number Liceue/(D/OtherNumber