HomeMy WebLinkAboutHomestead_Ross (7)INDIANA
Rav M. Drulev Attomev No. 4759-26
Repurer oJNe Sala DBdasure Form Ti4e
Addren (NUmberand Stree[)
Law OKce of Rav Drulev
Campany
Fort Branch. IN 47648
E-moil
7- Name as appears on ronveyvnre document
_ 429 N. Prinr.e Street
Address (NUmberond Street)
Seller 2- Name as appmrs on ronveynnce docvment
Addr¢s (Nvmber and SVeet)
Prinrs�tnn IN 47670
Ciry, Smte, and LPCode �
TefephoneNumber E-mall TelephoneNumber E-mai/
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and cy,mple[e as re�Quired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Praper[y Sales Disclosure Ac[".
da�vmmt
Addras (Num6er and Street)
Princeton. IN 47670
� [iry,5mrqandTJPCode
5(qnamre o/Sdfer
Bvyer 2- Nome as�rs om m�veyvntt documm[
Addras (NUmberand Street)
Princeton IN 47670
Ciry, Smre, and LP Code
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.Y DEDUCfIONS FOR THIS
Q � 1. Will [his property be the buyer's primary
residence? Provide complete address of �
residence, including county:
424 N Prince Street
Addrac(NUmberund5treet)
Princeton.IN 47670 Gibson
Ciry. Sm[e ZIP Cade County
� Q✓ 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
induding county:
Addras (Num6er and Street)
Ciry, State LPCade
THOSE TNAT APPLY.
� Q 4. Solar Energy Heating/Cooling System
� Q 5. Wind Power Device
❑ ❑� 6. Hydroelectric Power Device
❑ ❑d 7. Geo[hermal Energy Heating/Cooling Device
� Q 8. Is this proper[y a residential rental property?
� �✓ 9. Would you like to receive tax statements for [his
property via e-maiV (Provide contact informodon
6elow. Please see instructlons for more infarmadan.
Not availa6le in all coun[ies.)
�� -�a-a j �Q� Qaa. G7�- oa� �
name E-mvil
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ad". (Note:
Spouse information, Social Security and Drivers License/O[her numbers are no[ necessary if no Homestead DeducUOn is
being filed.)
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Las[Sdigittof8uyerlDnver's Stnte Las[SDigiGSOfSotial5ecuntyNum6er
Lirense/I D/Other Number
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LastSdigiGSO�Buyer2/SpouseDnver"5 Smte Lat[SDigiao/SociaiSecunty
Num6er Lirense/!D/OrherNum6er