HomeMy WebLinkAboutHomestead_Owens (6). •
I,YDU\ASALES DISCLOSURE FORJf
C Barrett
Prepvrer o(Me Sales Distbsure £orm
f226 W. Broadvray
Addres(A'umDuandRreet) 1
Princeton, IN 47670.
Ciry, Smre, ondLPCOde �
SDFlD SDOID 733884
Bradley T. Clark �
Sellrr 1- Nume m vppwrs on wmqan[e davmer:t
103 E. Ga�eltl Ave
Addren (Num6rrunASCee[)
Princeton, IN 47670.
Ciry, Smtc. a�M7JPCOde
r��
� Pave 2 �'
' _" :! 1
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Broadway Title, Inc.
Compuny
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Se!lerZ - Nomr as appmrsan mmvyvnte dorun, ent
Add.en (Nunib¢r andSVee[)
Ciry, Smtq and LP LoCe
Under penaldes of perjury, [ hereby certify [hat this Sales Disclosure, to the 6est of my knowledge and belief, is true, correct
and comple[e as required� la�v, a,�d is prepared in accordance �vith IC 6-11-5.5, "Real Property Sales Disclosure Ac[".
lisry D. Owens
Buya 1 � Namem
Wadesviile, IN 4763&
Ciry, S:olq and LPCade
�
THE SAI.FS OISCLQSllRE FORM 51AY 9E USED T0IPPLY FOA CERTAIY OEUUCTIOYS
X❑ � 1.6Vill this property be the buyer's primary `
residence? Provide complete address of prima
residence, induding county:
103 E GARFIELD AVE
Addrea (A'umber and5trrer)
Pnncetan, IN 47670 GIBSON
Ciry, Smte ZlPCOde Counry
�� 2. Does [he buyer have a homestead in Indiana to bc
vacated for [his residence? [f yes, provide
complete address of residence heing vacated,
including county:
Addres (h'umbv ard StrrelJ '
Ciry,StnhZlFCode lounty
Signamre a(Seller
Buyer2 � Name os appearson cnnvryanre dxumvst
Address (Nvm6erand StreeQ
Llry, SutG and ZIPCOde
IDEM1TIFV ALL OFTXqSE THAT APPLY.
Qx � 3. Homestead
. o ar Energy�Heating/Cooling System
�—S-14'.ind Power Device
❑ Q 6. Hydroelectric Power Device
❑ Q 7. Geochermal Energy�Hearing/Cooling Device
❑ Q 8. Is [his property a residential renGl proper[y?
❑ Q 9. Would you like to receive [ax statemen[s for this
property via e-mail? (Provide conmct informntion
6elow. Please see insh-ucdons for more in formadon.
Not available in all countres.)
oTlo'lo?-/d�- �/-�Oc� .'�7oY�Do��
Pnmarvuroneltvmvncrmnmatname E-moil
Under penaldes of perjury, I hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as required 6y law, and ls prepared in accordance wi[h IC 6-1.1•5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse information, Social Security and Driver's Litense/Other numbers are no[ necessary if no Homes[ead Deduc[ion is
W`
Sacial5xunty Numbe�
Num6er
Slgr.o�ureo(BUyerl/Spouse
Prtnted Legal Name ofByv 2/Spousc
Si9n Oafe FHlf/OD(IYY1]
LestSdigi[so%Buyer2/SpauseDriver'r S[ate LartSDigiaof5ocialSecvnry
Number L(cense/lD/OlherNumber