HomeMy WebLinkAboutHomestead_Estrada-. 1\DL�VASALESDISCLOSUREFOR�I SDFID SDOID 723318 _ Page2
D.PREPARER
Samantha Cutsirger
Prtyarer o/the $c/es Duclosvre Form TiUe
226 W. Broadvray Broadway Title, Inc.
AJ✓ras (NumGer ond Sveet) Cumpany
Princeton, IN 47670.
E. SELLER S GRANTOR S
Mna Lee (Weber) Box
Srl7er 1� Neme va nppevn on �onvryvnir durumen� Srlla'd � Nume os uppevn on evnvnamr dorumrnt
725 E. State St.
Address (Number onE 5vretJ ACdrtss (NUmbzr and 5veet)
Princeton, IN 47670. •
E�mail Tele honeNnmber E-moil
Under penalties o(perJury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belie(, is [rue, correct
and com lete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure AcC.
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Sipnamrea(Edier �� `J� Signpmrtof5rller
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F. BUYER S GRANTEE S-APPLICATION FOR PROPERTYTAX DEDUCTIONS- IDENTIFYALL ITEMS THATAPPLY
Dimas Estrada
Buye� I� A'ome ns oppmrsan rnnveyonre Javmen: Bvyer? � Neme vt apyevrsam m�vewnte dacument
5513 Ambervrood PI
Add�m(Num.brrand5verq AdEress(NumbrrandStreeQ
EI Paso, TX 79932-
Ciry.Smtt. anE ZIPCM.e Ci.y.Sm:e. and ZIP Ca1e
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THE SALES OISCLOSURE FOR�1 MAY BE USED TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IDENfIF1' ALL OF THOSE THAT APPLY.
YES �W COYOITION 1'ES NO CO,L'DITIOY
X� � 1. 4Vill [his property be the buyer's primary Q � 3. Homescead
residence? Provide complete address of primary � � 4, Solar Energy Fleating/Cooling System
residence, including munty:
725 E. STATE ST. ❑ Q 5. Wind Power Device
Mdress(A'umbrrondSVm[J ❑ Q 6. Hydroelectric Po�ver Device
Princeton, IN 47670 GIBSON � � �, Geothermal F.nergy Hea[ing/Cooling Device
bq•, Sma ZIPCoCe Coonry
� � 2. Does the buyer have a homestead in Indiana m be � � $� Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ � 9. bVOUId you like [o receive tax statements for this
complete address o( residence being vaca[ed, property via e-mail? (Provide contnct tnformotion
induding count}•: below. P(ease see instructions for more in%rmation.
Not available in all counties.)
Add�crs (A'um6er ond5trcet)
a�-�a-cn-ao�-oo3. i��-oa�
Ciry.Sm[eZIPCWe Counry -
Rima!v pmperry owner mr.ma nume !'�mail
Under penalties o(perjury, 1 hereby terti(y that this Sales Disclosure, [o [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 information, Social Security and Driver's License/Other numbers are not necessary i(no Homestead Deduction is
bein.,g/ f�iled.)
/a.,�iYh..n �
Signomrt ofBvyerl Srgnamre ojBuyer:/Spouse
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Number Las[ 5 digics ojBuper?/Spoase Dnver's Sm[e Last 5 Drgitso(Social5ecunry
Licenst/ID/Other,Yum6er Number License/lD/OrherNUmber