HomeMy WebLinkAboutHomestead_Remington1\DI.\N,�SALESDISCLOSUREF'OH\t SDFID SDOID 808584 Page2 �
D.PREPARGR �
Samantha Cuisirger
Reyarer o(Ne Scla Daclasure Form Title
I226 W. Broadvrdy Broadway Ttle. Inc.
AdJras(Num6erondSVeeQ Campony
Princeton, IN 47670.
Sriler ]- Nume o> appmrs on eonvryume Jocvment
7239 S. Seminarv S�.
Addreu (Numbrr ond SveerJ
Princetan, IN 47674
Ci,ry�.5:a[c. and7.IPCOde
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Under penalties otperjury, 1
and cqtn{Ze[�as required by
DEDUCT
Kimberlv A Catiller
Address(NumbrrandStrerQ
Haubstadt, IN 47639-
Ciry. Smre, and LP Cade
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TNE SALFS DISCLOSURE PORM MAY BE USEO TO APPLY FOR CERTAIN DEDURIONS FON THIS PROPERTV. IDEF7�IF1' ALL OF THOSE THAT APPL�'.
Q � 1. Will this properry be [he buyer's primary
residence? Provide complete address of F
residence, including county:
1239 S SEMINARY ST.
AAdrese (NUmbrr ond 5[rxeJ
Princeton, IN 47670
Ciq�. Smre ZIP Code
GIBSON
Counry
�� 2. Does the buyer have a homescead in Indiana to be
vacated for this residence? If yes, provide
comple[e address of residence being vacated,
induding county:
Address (Nwnber and Sveet)
Ciry.5mre21PCode
Counry
QX � 3. Homescead
� � nergy lieating/Cooling System
� Q 5. �Vind Power Device
� Q 6. Hydroelec[ric Power Device
� Q 7. Geothermal F.nergy Heating/Cooling Device
� Q 8. Is this proper[y a residential rental property?
� Q 9. 4Vould you like to receive tax statements for this
properry via e-mail? (Provide contact information
below. Pleose see instructions%r more in(ormation.
Notavailable in all counties.)
�G-/a�o3- 000. o �� - o��
Rimarvomoemo�mnmr.mctname k'�moil
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, [o [he bes[ o(my knowledge and belief, is true, correc[
and comple[e as required by law•, and is prepared in accordance wi[h IC 64.1•5.5, "Real Property Sales Disclosure Act'. (Note:
Spouse information, Social Security and Driver's License''/Other numbers re not necessary if no Homes[ead Deduc[ion is
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