HomeMy WebLinkAboutHomestead_Kelley (7)1\DIA\A SALES DISCLOSURE FOR�I SDF ID SDO ID 715010 Page 2
D.PREPARER
Kimberly A Lewis
ReyareroJ�heSalo Oiulosure Form Title
226 W. Broadvrdy Broadvray Title, Inc.
qEdrm (Number ondSVx4j
E. SELLER S /GRANTOR S
David R. Mull Amantla R. Mull
SAler l� Name as apyean an romn'���e Joaumm� Seller2 - Nume as upyevrs on mmewnae dorvmem
604 E. Water SL 60a E. Water St.
Addrest (Number and SveerJ ACEms (NUmber ond 5✓ce[)
Pnnceton, IN 47674 PrintetOn, IN 47674
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Under penalties of perjury, 1 hereby cerdfy that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and c lete as repuired law, a is p ared in a�cordance with 6-1.1-5 5, "Rea}� roper[y Sales Disclosure AcC.
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Sign�( rcajShcrr ` Q I I � � I I Slgna ren(Scller-��� �/� �r � /'
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. UYERS G NTEES -APPLICATION-FORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Shaun W. Kel
. e u vppmrs on mmewnre datumen: Buyer Z� Nome os appevrs an ronvewnm document
Spring St.
Address (Kum6er andStrertJ AEdress (Number and S[reet)
Princeton, IN 47670.
Ciry.SmtavndZlPCw.'e ��� Ciry,Smre.andZIPCaOe
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THE 5,1LF5 DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.Y DEDURIONS:OR THIS PROPERTY. I OENTIFI' ALL OF THOSE TNAT APPLY.
YES NO CONORION YES NO CONDITION
❑x ❑ 1. Will this properry be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of primary � Q 4. Solar Energy Ileating/Cooling System
residence, including county: ❑ � �
60a E. wATER ST. S. Wind Power Device
AAdrrss�Num6rrandSVee[) ❑ Q 6. Hydroelecvic Power Device
Princeton, IN 47670 GIBSON � � �. Geothermal Energy Headng/Cooling Device
Ciry:SmteZIPCoCe Counry
� � 2. Does Ihe buyer have a homestead in Indiana [o be � � $� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. Would you like to receive tax statements for this
complete address of residence being vacated, properry via e-mail? (Provide contnct informacion
below. Pfease see instructions or more in ormation.
includingcounty: f f
Notavailab(em lcounties.J
Address (Nvm6er and Svret/
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Comry
Primarvproperry� o�mer cor,m�t nume E-mail
Under penal[ies of perjury, l hereby certlfy that this Sales Disdosure, 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 6d.1-5.5, "Real Proper[y Sales Disclosure AcN. (Note:
Spouse in(ormation, Social Security and Driver's License/Other numbers are not necessary i(no Homestead Deduction is
bein �I d.)
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