HomeMy WebLinkAboutHomestead_Robinson (12)INUI,\NA SALES DISCLOSURF. FOR?I
D.PREPARC•R
Samant�a Cutsinger
PreyareroJeM1e Scles Disdosu.c Form
'26 w. eroatlway
Addrrs� (NVmLer and Sveet)
'rinceton, IN 47670.
On 5[c:e,andZIPCOCe
Eddie Dail 7oler
Srller 1� Nomr u> nppeun on �onvnnnm Ja�oment
802 SE 2nd Si.
Adaress (Nvml�er ond SPttI/
SDFID
Washington, IN 47501-
Ciryt S:at4 ondZNCaJe � I
,' V �
Under penalties of perjury, I hereby certi(y
and complete as rea�ir�ed by law, and is pyq
� . . � 1' / // / /
CH
150
Jorvmen;
SDO ID 714124
Title
Page Z
Compony
Srlier! � Nume os uppevr. wi amv.min<e da'vment
A1dms (Number onl S:ree[)
liq�, Smt, nnALIP Cale
5s Sales Disciosure, to the best of my knowledge and belie(, is true, correct
in accordance �vi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Shoals, IN a7587-
Ciqc Sm[e. anJ ZIPCa:e A
� ?
THE STLES DISCLOSURE FOR�t MAY BE USEO TO APPLY FOH CERTAIN DEDUC710N5
�_,] t. 4Vill chis property be the buyer's primary
residence? Provide complete address of priinary
residence, including couni}•:
&1 �i S Srp �r S� /+
' vrrtJ V / LlY1/ �
}�/Nt.t—rDti: � �`7e
[iry.5mte LIPCaCe [ounn'
� � 2. Does [he bu}'er have a homestead in Indiana to be
vacated for chis residence? If yes, provide
comple[e address of residence being vaca[ed,
mclud'n munty:
�.2 (0.51 US gu �,sv
�"�tr�cs(n'umbrrand5vr IJ �— v
-�^"10<L�S � �%SO � ��ini
Ciry. Smtr ZIF Cbde Connry
A'i.4namre n/SeNer
RoSe Mary Robinson
Buyer 2- Kome as nppran on
Addrrss (Nombrr ond Svret)
S�oals, IN 47581-
O[v, Sm[e. and'ClP CWe
AT
dan men[
IDENTIFI'.1LL OF THOSE TMAT TPPLI'.
� � 3. Homestead
e—�—s-cnia� � eating/CuolingSystem
� Q 5. 4Vind Power Device
� Q 6. Hydroelectric Power Device "
� Q 7. Geothermal F.nergy Heating/Cooling Device
� Q 8. Is this properiy a residen[ial rental properry?
❑ Q 9• b1`ould you like co receive tax statements for this
property via e-mail? (Provide conmcr informorion
below. Please see instructions for more information.
Not available in all caunties.]
a�-i�-��-aaa• �oo. �oa,o�
Nimarvnmuerm o�mer mnmat nurne E-moil
Under penaltles of perjury. I hereby certify tha[ [his Sales Disclosure, to the best of my knowledge and belie(, is [rue, correct
anJ complete as required by law, and is prepared in accordance wi[h IC 6-t1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse informa[ion, Social Security and Driver's License/0[her numbers are no[ necessar}• i(no Homestead Deduction is
being file� � ` ,
� a-a %YV1^— Aitr.l D-e�+�.oi/YL
Signamre o(Bcyerl � / /-( / S�ure nJMRvyer_/Spoux / {�, �/ %
(;1� c�"l�l�S 19 �15�1 �fd"r�'/"��� �c:P�/In-YU �!7>Y7.$Gt\ "`'��v�(
of5ocol5etunry h'umher
Lrpn7,Vame
,
�
LostShcgicso(Bcyer2/SpouseDnver's Sm:e Cas<SDigicso/'SoriclSecunry
A'umber License/lD/O[herA'umhe�