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HomeMy WebLinkAboutHomestead_Geuss1\DIA\A SALES DISCLOSURE FORAt SDFID SDOID 732351 Page 2 Chad Wesselman Mortgage Coordinator Preporer o(rheSala Dittlosrire Form TiUe �01 Theater Drive Evansville Teachers FCU .ddrea(NumberondSVntj Company Evansville, IN 47715- Number E-maif .�c� ..:......... ._ .... .., . Shca I� Name os oypears on ronveyvMe document Seller 2-�Vame ¢s nypeors on conveynnre document 1600 E. Broadway Addren (Num6er and Stree[J Address (NumbernndStreetJ Princeton, IN 47670- Ciry, SmtG and LPCoEe Ciry, Sm[e, and ZfP lode Tele haneNumber E-motl Tele honeNUmber E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct �Q� coqiplete as req�i d by law, aqd is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". _;„ _�,_r 03/oi9/2o FOR Kenneih G. Addrm (Num5er and SVm[J Princeton, IN 47670- THE SALFS UISCLOSURE iORM MAY BE USED TO APPLY POR CERTAIN DEDUCTIONS x0 � 1. Will this property be the buyer's prim�y residence? Provide complete address df pri� residence, including county: � 1600 E. BROADWAY Addreu (Number and SveetJ Princeton, IN 47670 GIBSON Ciry, Sm[e ZIPCade Counry �x � 2. Does the buyer have a homestead in Indiana ro be vacated for this residence? If yes, provide complete address of residence being vacated, including county: 2465 N. CARITHERS ROAD Adlres (Num6¢r ond Street) Princeton, IN 47670 GIBSON Ciry. State ZIPCode Counry SqnaNreafShcer Aary J. Geuss Buyer 2 - Nam� Addrus(NUmberond5tree[) P�nceton, IN 47670- Ciry. Smte, and ZIPCode ronveyancedacumen[ APPLY. �x � 3. Homestead � � 4. Solar En� System d"'�""'SaVind Pawer Device � Q 6. Hydroelectric Power Device ❑ Q 7. Geothermal Energy Heating/Cooting Device � Q 8. Is [his property a residential rental property? � Q 9. Would you like [o receive [ax statements for [his property via e-mail? (Provide contact information 6elow. Please see instructlons jor more information. Not availo6le in aIl muntres.) [o-�a- 08- �03_00,. 99z_cx8 ownerronmttname E-mail Under penalties of perjury, t hereby certify [ha[ this Sales Disclosure, to [he best of my knowledge and belief, is [rue, correct and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note: Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is bein filed.J" �� �1 �., 4.��� Sig ieo(BvyeN Signamreo u�gf2/Spavre ��rNNc-r� G 4L ks� ,���- i2 m A i�� _��y-��Ss �- 5- �� �' Las[SdigitrajBuyerlOnver's Sm[e Las[SDigitro�Sacial5ecuriryNumber LastSdigiuo(Buyer2/SpouseDnveYS Sta[e LastSDigicso%SxialSxurity License/ID/OtherNum6er Number License/!D/OtherNumber