HomeMy WebLinkAboutHomestead_McFadden1\DUNA SALF,S DISCLOSURF: FORJI
SDFID
SDOID 881009
Page 2
�DrFt2EPARER' � -- ` � - - - - - . -- .':: �
% Kimberly Lewis Office Manager
PrepurerofNeSafesDiulosureForm 75de
26 W. Bmadwd Broadway Title, Inc.
Address/h'umberanlSheet)
E. SELhER S � GfL1NTOR S -� � � -"' � -- � " `
Cynthia (Johnson) Hammock
Seller 1- Nume as cppevn on cortvqvnw doavment Seller 2- Nume vs oppmrs en rnrtrryunae darummt
8206 Grady Dr.
Addras (NVmber andSReet) AAdress (NVmber ond Svre[)
North Ft. Meyers, FL 33917-
C5ry.5late, andZlPGade Ciry•, Smte. and ZIPCode
E-mail Tefe AoneNmn6er £�moll
a��'d r pen ies f perjury, l hereby certlfy tha[ this Sales Distlosure, [o the best of my knowledge and belief, is true, wrrect
d m 1 e s equired by) 1�w, and fs pre ared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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� iF om ofSefler Sigrtvmrea/.Se/ler
� A� c� n �n mc; 5�?S i�
' EE S =APPLIGATION'FORPROPERTYTAXDEDUCTIONS-:IDENTIFYALI.ITEMSTHAT.APPCY � � -
lonnie J. McFadden -
Bvyerl-Nvmeaseppevrs onve�vntedo[ument Bu��erZ�Nameotuppearsonconveyantedocument
23 . a e t.
AdErea(Num6erand5vee[J Addrus(i1'umberand5[ree�J
Princeton, IN 47670-
�TdeohonnVUmb� Emai/ TMt F.oneA'um6er E�maO
TXESALESOISCLOSUREFORMM1IAY6EUSEDTOAPPLYFOPCERTAIYDEDURIO`lSFOPTHISPROPERTY OFTHOSETHATAPPLV.
�'FS NO COKDITION t'FS NO COYOITIOY
x� � 1. Will this property be the buyer'S primary X 3. Hom
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, includin coun
730 E. STATE ST. g ty� ❑ Q S. Wind Power DeviCe
Address(NUmberond5bee.) ❑ Q 6. Hydroelectric Power Device
Princeton. IN a7670 GIBSON � � 7. Geo[hermal Energy Hearing/Cooling Device
[Iry, Smm ZIP Codz Caunry
�� 2. Does [he buycr have a homes[ead in Indiana to bc � 0 8. [s this property a residential rental property?
vacated for Ihis residence? If yes, provide ❑ � 9� Would you like to receive �ax staiemen[s for this
complete address of residence heing vacared, property via e-mail? (Provide conmct informotion
inciuding county: below. Please see instructrons jor more information.
Not avuilable in ull counties.)
Address (A'u mber and 5[ree:)
c�-�a-o�-ao�=��.�s�� �a�
Gty,SmhZIPCade GovnN
Rimaryproperry�mrnermnm[[nvme E�mail
Under penalties of perjury, I hereby certify that this Saies Disdosure, [o the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in acmrdance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/0[her numbers are no[ necessary if no Homes[ead Deduc[ion is
being �Oyled.) �
d.lYYvvk2 % . �� �s4 t�
Signamre of B�yerl Signamre a(Byer2/Spouse
��N,v;e s !�`F�dde.� os/.�5%�oi�
PdnledLegalNameofBuyal SignDate(M?1/DO/YYYh RinrediegalNameaJByw2/Spause SignDo(e(.Hlf/�D/YVI'I)
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Los[SdigiGSOfBuyer}Dnver's Smte GastSDigiGSOfSocialSxurityNumber Las[SdigiGta%Buyer2/SpouseDriver's Smre LastSDigiGSOfSocial5ecu�ity
Licrose/ID/OtherNumber Number L(tense//D/Otherh'umber