HomeMy WebLinkAboutHomestead_Hale (3)INDIANA SALES I LOSURE FORM SDF ID: Page 2.�
D::PREPARER , E .'i � �'" �t.: _ , . � ,,;_ � =� 4 .� -
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Steven L. Whitehead Attorney
��°reporer of the Sales Disdosure Form r����
111 N. Hart Street
Addrett (Nvm6e� and Sbeet) Company
Princeton. IN 47670
�E.SEB�ERB GRANTOR S � t —C�: `e. _�.Y?»2� '��+-�.�� +4' r= _ r _ --
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Taffy _'_Bysarovich
Seller 1- Nome os appevrs on ronveyonre da'umen[ Seller 2- A'ome as appears m conveyana dxumenl
122 W. Christian Street
Addres (Num6er and Slree[J qddress (,VVmber and SoreQ
Princeton, IN 47670
Liry.
Emal! Tele honeNumber E-mail
Under penal[ies of perjury, I hereby cer[ify [ha[ this Sales Disclosure, to the bes[ of my knowledge and belie(, is true, correct
and comple[e as required by law, and is p[epared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Slgnamreo eller SignoN�eo/Seller
Taffv Bvsarovich
PnnredNOmeolSelfer 5! nDare(MH/DD PnnredNOmeo Seller SianDure MM/nD
�;FiBUYER S `.GRANTEE S ��-'APP,L'ICATION.FOR�DEDUCTIONS�IND�CREDITS`-1DENTIFY�ACLITEMS-THAT'APPLY'�'- -
Kelley Eugene Hale
B•ryer l� Name os appeors om m�veyanre dorumen[ euyer 2� Nvme as appevrs on ronveyanre davmen[
122 4i. Christian Street
Address (Number and StreetJ Address (NUmber ond SveeQ
Princeton. IN 47670
n, Smre, and 21PCode Ciry, Smte, and Z/PCode
E�mail Tele honeNumber E-mail
THE SALFS DISCLOSURE FOR?7 MAY 6E USED TO APPI,Y FOR CERTAITI �EUIIRIOYS FOR THIS PROPERTY. IDE.VTIFY ALL OF TNOSE THAT APPLY.
YES NO CONOITION I YES NO COYDITIOV
g ❑ 1. Will this property be the buyer's primary �❑ 3. Homestead
residence? Provide complete address o(primary � �- 4. Solar Energy Heating/Cooling System
^residence, including county:
y ❑ Q" S. Wind Power Device
ad�'u�ce.o�d�Pze� � �� I� I ❑ [�Y 6. Nydroeleciric Power Device
�2a��AieS"� �' �/'� 5�/�° � � � �!'� S� �"1 ❑ [/� 7. Geothermal Energy Heating/Cooling Device
� Ciry,Sm[eZIP[ade - -COUnN
❑ �] 2. Does the buyer have a homes[ead to be vacated for � �$� �s ihis properiy a residential rental property?
this residence? Ifyes, provide complete address of
residence vaca[ing, including county:
Address (Number andS[ree[)
07� /a-o � �of� oG�.��- o
Cirv, Smre ZIP Codt Com
Under penalties of perjury, I hereby certify that this Sales Disdosurc, ro[he best of my knowledge and belief, is [rue, correct
and cp�� ple[e as required b{� l�aw, and is prepared in accordance with IC 64.1-5.5, "Real Proper[y Sales Disclosure Act". _
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�gnanueo/ uyerl I SignetureofBUyer2
Kelley Eugene Hale 3/l� (0
Pnn[edNameofBuyer] SionDa (MM� Rinl¢dNomeo B er1 Si nDOfC MM/OD/YYYI}
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