HomeMy WebLinkAboutHomestead_HettenbachINDIANA SAI.ES DISCLOSURE FOIL�t
SDFID
13�1�
SDOID 883147
,�Page 2
�
D. PREPARER � ' ' - -
Shecari Southwell Mortgage Loan Officer
Preparer o/the Sala Oisdosure Farm '�;/e
�1 Theater Drive Evansville Teachers FCU
�Jdrea(Numberand5ometJ (ompnny
Evansville, IN 47670-
E: SECC6R S' GRANTOR S t " • < ....4 _ - 'i�;. ':
�erA. Brengman
Seller 7- Nome as appean an mmeyance dorument $elfer 2- Name as oppears on romeynnce dacumm[
602 Kennedy Drive
Addresz(.YUmEerandSo-eeQ ' AddressplumberandSmee:)
Princeton, IN 47670-
Ciry.Sm[e. and Z/PCOde Ci9; Sm:e, anC ZIPCode
P�mail TNe hone,YUm6er E-maif
Under penalties of perjury, 1 hereby cer[ify [hat [his Sales Disclosure, [o the best of my knowledge and belief, is [rue, correct
anttcy fipl as req ' by law, and is prepared in accordance «�th IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
5lgnaar J eller SlgnatureoJSel/er
,
�.✓� S Z 4
, „ . ,� ..
_ UYERS G S -APPLICAT(ON�.FOR�PROPERTYTAXDEDUCTION5-IDENTIFY.ALCITEMS-THATAPPCY;-.`'� ��� �
Gail A. Hettenbach
Buyol�Namecsaypea ontonveyonredocumen[ Buyer2�A'ameasappearsanronvryanredocummt
e
Address (Num6er and Sbee[) Additss (Numb¢r and Stree[J
Princeton, IN 47670-
ry, Smte, md ZIPCode Ciry, Smte, ond7.IP Code
�
I'ele honeNumber E�mail Tele honeNum6er f-mail
THES,iLE5UI5CLO5UREiORF1MAYBEUSEDTOAPPLYFORCERTAlYOEOUR10N5FOR HN. IDEN THOSETHATAPPLY.
1'ES NO WNDITI08 YES NO COYDITION
Q ❑ 1. Will ihis property be the buyer's primary �X � 3. Homesiead
residence? Provide complete address of pr 4. Sol Heating/Cooling System
residence, including county: ❑ �
602 KENNEDY DRIVE 5. Wind Po�ver Device
Addres(NumberondSo-eeQ � Q 6. Hydroelectric Power Device
Princeton, IN 47670 GIBSON � � �, Geothermal Energy Heatlng/Cooling Device
Ciry.SmteZlPCode Counry
❑� 2. Does [he buyer have a homestead in Indiana m be � � 8• �s [his property a residential renWl property?
vacated for this residence? If yes, provide ❑ Q 9� �Nould you like to receive tax statemenCS for [his
complete address of residenre being vacated, property via e-mail? (Provide contact informadon
induding county: below. Please see instructions for more informadon.
Not availa6le in all counties.)
Addrcss (NUmber ondSVeey Q
Ciry.SmreZlPCode Caunry —' '/�'D� �O�'�//�� O
Primorypraperryownermnmotname E-mail
Under penalties of perjury, I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and beliet, is [rue, correc[
and complete as required by law, and is prepared in accordance tvith IC 6d.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa 'oT, ocial Security a� Dri��er's License/Other numbers are no[ necessary if no Homes[ead Deduc[ion is
bein d.� � � %
Si nq reo�u (Buy �I � SignaNreofBuyer2/Spouse
���r� ,� . �t�u�r3,�c�+ s a �/�a-
Las[SdigiCSOfBuyer}Dnver's Stare GastSDigitso(Social5ecunryNumber LastSdigieso�Buyer2/SpauseDriver's Smte LastSDiginofSocial5ecuriry
Lirense/lD/OrherNum6er Num6er Lirense/lD/OtherNum6er