HomeMy WebLinkAboutHomestead_LinI\DIA\A SALES DISCLOSURE FORJI SDF ID 26-2009-1000435
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SAMANTHA CUTSWGER BROADWAY TITLE, INC. -
PrepnmrofrFeSala DudwuieForm 7u/e
226 W. BROADWAY BROADWAY TITIE, INC.
A�L/rev /,VUmber and SveetJ Campanv
PRINCETON, IN 47670 (
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JAMES E HELTON JR.
Sel(rr -.Vmne ai apFu+n on mmercxe dmme..r
119 Old Airport Rd., Apt 315
A�L3nu (,VUmbn an�$neaJ
�L'aG�ange, GA 30240
Cirv. Sm+e. and LY Caie
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lnder penalties of perjurc, I hereb}• cerrify thar this Sales Disclosure, to the best of m�• kno�cledge and belief, is true, correct and
omple�s required b�� law, and is prepared in accordance �+•ith IC 6-I.I-55, "Real Propern� Sale' Y— ure Act".
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PRINCE70N, IN 47670
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r 1. Wili lhis property be the buyrrs primary residence?
addresi uf primarv re>idenee, including counrv:
302 N. 10TH ST.
Ad�o-r.v P�rs,nar, m,e.C.rrri \
PRINCETON, IN 47670 Gibmn
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r 2. Does the buyer hnve a home>tead to be vacated for this residence? I(
yes. provide complete addrees of residenee vacating includin� counq�:
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Ci9'. Sa�e. a�]lPCode Coimy
8uy'v -��'ome as appcars on eomnm�ce docunee ✓
Aames. L\'umber m,d S:reer)
r� 3. 1{omestead
r 4. Solar v HeazingiCooling Sysiem
r 5. N'ind Pow�er De��ice
�". 6. Hydrcelcctric Power Device
r, 7. Grothermal Energy Hcating�Cooline Device
r 8. Is this propem� a rcsidemial rcn�al property?
r 9. P'ould }•ou like �o recie��e �as stateinznts tor this propem• �ia
e-mail? /Proride conrncr inlormvrion be[oH�. Pleosrsee rhr
iratrucrionr (or more infom+olian.:\'o� wai!cb(e m all ro• ntie .} �
oT� -�i- /a -o?a �3- cU3.�� � Od
UnOer penalnes ol perJun'. 1 nereDC certll\'tnat tnls JaleS ulsclosure, [o Ine oesi ol mY Kno�.leage ana oeuel, Is Irue. correcl ana comp�e[e as
required b�' lae', and is prepared in accordnnce ��i[h IC 6-1.1-5.>, "Real Property Sales Disclosure Act". (\o[e: Spouse Informarion, Social Serurin�
and Drirer's Licensrlother �mbers are nut ne sary if Homestead Deductinn is 6eing �led)
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