HomeMy WebLinkAboutHomestead_Mason (18)1\DI.1\A.SALE$ DISCLOSURE FOR�1 SUFIU SDOID 474631 Page2•
.D.PREPARBR - " � - � -
Kimberry A Levris Office Manager
Reyarer o(fAe Scles Dudosvre Form Title
226 W. Broativray Broadway Title. Inc.
AdEros(h'vmW a�M Str�et7 Company
Princeton, IN 47670.
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E.SELLER S GRANTOR S �
linda J. Fisher � Larry A. Doemer
Srqcr 1- Nomr us op�rz on iunvcym(%docummt $yllei' Z� Name os uppean on imvrvunce dncumenl
540 Brookview Dr. 2294 E. Top Hat Rtl.
Address(NumM1erandSaettJ ACdress(NumberundSvnt)
Evansville, IN 47711- Princelon, IN 47674
Ciry, Smtt anEZlACOde Gty.Smre. nnR ZIPCade
E-rnoil Tdo honeNUm6er P�muil
Under penaltles o(perJury, I hereby certify that this Sales Disdosure, to the bes[ o(my knowledge and belief, is true, correct
an�d ncomplete as required by law, and is prepared in accordance w�th 6-1.1-5.5, "Realc P�roperty Sales Disdosure Ac[".
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.BUYERS GRANTEE -APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPGY
Ella Maxine Mason
Bve�I�Nameasoppearsn veyoncedavmen; 8vyer2�Nameasappeorsanronvewncedacvment
a tl.
Addiess/A'umbnandSVrelJ ,�ddros(NumberandSneet)
Princeton, IN 47674
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Tde honeNUmdv E-moil Tde haneNumbe� Emoil
THE STLFS DISCLOSUAE fOMt MAY BE USED TO APPLV FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IDEATIF\' ALL OF TNOSE THAT APPLY.
YES NO CONDITION }'E5 NO LO\DITIOY
x0 � 1. Will this property be the buyer's primary Q � 3. Homestead
residence? Provide complete address of primary � � q_ Solar Bnergy lieating/Cooling Sys[em
residence, including counq�:
805 E. WATER ST. ❑ Q 5. �Vind Power Device
AAdress(NUmberandSVeeQ � Q 6. Hydroelec[ric Power Device
Princeton, IN 47670 GIBSON � � 7, Geothermal F.nergy Heatlng/Cooling Device
Ciry.S[eceZIPCoCe Counry
Q � 2. Does the Uuyer have a homestead in Indiana to be � � 8. Is this property a residential rental properry?
vacated for this residence? If yes, provide ❑ 0 9. Would you like to receive tax statements for this
complete address of residence being vacated, properry via e-mail? (Provide conmct informotion
induding munty: below. Please see instrucpons%r mare in%rmation.
2507 E. TOP HAT RD. Not pvailoble in all untieS.)
Addren (h'um6er and5uttt)
Princeton, IN 47670 GIBSON �� �/� _� �� �Q%_ �o �� Q��
[iry, SmuYtPCOde Counry
Ntmxrvpmperry mwer ror.mot nume E-maif
Under penal[ies of perjury, I hereby certi(y that this Sales Disclosure, to the best o(my knowledge and belief, is true, wrrect
and complete as required by law, and is prepared in accordance with IC 641-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
being filed.)
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SignamreoJBuyerl � _ Signamreo(BUyer2/Spouse
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Social5ecuntyNumber Los[idigicsojBu}•er2/SpouseDnver's State LastSDigiCSO(Saciol5ecunry
License/lD/OtherNumber Number Lirense/lD/OtherNUmber
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