HomeMy WebLinkAboutHomestead_LackeyI\DUNA SALES DISCLOSURE FOR�I SDF ID SDO tD 8834U7 page 2�
D. E'REPARER � � - �
Patti Kolb Closing Manager
�Preparer of the5alesOinlomre Fonrr 71tle
126 W Broadvray Broadway Tiile, Inc.
Addrea jNumberand5heetJ Lampany
Princeton, IN 47670-
E�. SELLER S GRANTOR S � � � � �
Frances E Parker �
Seller 1� Name asa➢pmrs oa mnvnnnte dxumrn[ Seller d- Nvmc as appears an ronvry'ance docvmmt
429 W Glendale St
Addrrs (Number andS�rreQ Address (NUmber ond Sheet)
Princeton, IN 47670-
Ciry.Smte and ZIPCode Ciry•. Srore. mid ZIPCOde
&mall Tele honeNumber Emaii
Under penalties otperjury, I hereby cer[ify tha[ this Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, correct
and com lete as required by law, an/d,is prep/ared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disdosure Att".
�.(��Gr!w � { J/..C�—�
SigngSureuJSelfn `,.� / // Signvmreo%Seller .
� L v
f c e 5 L. 0!''/\GI� 9 v
-APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY �
Kenny R Ladcey
BuyeN-Nomevsappeursonc vnaeJocument Bvyer2-nbmeasappmrsonmme}nnreducumrnt
Addrett/Numberond5heer) Address(A'umberond5very �
Princeton, IN 47670-
.
E-mail Teleohoneh'urn6er Emoil
TNESALESDISCLOSUflEiORMAIAYBEU5EDT0APPLYFORCERTAINUEDUR10Y5FOHTHI ERT'.IDEN IOSETHATAPPLY.
1'FS NO CO�DITION YES NO COYUITION
x0 � 1. Will [his property be the buyer's primary ❑x ❑ 3 Homestead �
residenre? Provide mmple[e address of primary Q 4. Solar Energy Heating/Cooling System
residence, including counry: ❑ �
429 W GLENDALE ST S. Wind Power Device
Address(Numberand5orr[J ❑ Q 6. Hydroelectric Po�ver Device
Princeton, IN 47670 NOTAPPLICABLE � � 7, Geothermal Energy Hea[ing/Cooling Device
Ciry, Smlc ZIP Cadc Caunry
❑�] 2. Docs [he buycr have a homestcad in Indiana to be � � 8� Is this property a residentlal rental property?
vaca[ed for Ihis residence? IFyes, provide ❑ � 9. lNould you like [o receive [ax s[atements for this
complete address of residence being vacated, property via e-mail? (Provide contoct informotion
induding county: below. Please see instructions for more in/'ormation.
Not avaifable in all counties.J
A ddress (Number ond Svee[)
(�-�a-o7 �oi-�l� 7ia-oa
Ciry, Slate 21PCade Covnry
Rimaryproyern•ounerronmrtnvme E�mall
Under penalties of perjury, I hereby certify [ha[ [his Sales Disdosure, [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•S.S, "Real Property Sales Disclosure Act". (Note:
Spouse in(orma[ion, Social Security and Driver's License/O[her numbers are no[ necessary if no Homes[ead Deduction is
bei g filed.) ^
• i mreo(By�erl � � J�� � SignaareofBuyer2/Spause
i � � e� ��5�1
-
eruntyNumber LastSdi�iGro(Buyer7/SpouseDriver's Sfa[e LastSDi�i[ro(SocialSxuriry
Lirense/ID/OrherNumber Num6er Lirense/lD/OtherNumber �