HomeMy WebLinkAboutHomestead_Smith (40)L�DIA\A SALES DISCLOSURE FORJI SDF ID SDO ID 682015 Page 2�
D. PREPARHR' `[�- �-_. ' �. _. - -- - -'_ _ _____ _ ___ ____ _ _ . : , � . . ..
�Kimberry A Levris
Repartr oJ[hr5afo Olu/�vre Form Title
226 W. Broadway Broadway Title, Inc.
AdEress(NumbttaiMSnretJ Company
Princeton, IN 47670-
E.SELLER 5 GRANTOR S . � - � � � �� � � - �
Bannie G. Floyd
Seller ]- 8ame arap�rmn an ronveyance docvmmt Sefler2 - Nume os appears om m�nwnce dxvment
1008 S. Hall St.
Addreu(Numberondinrt) AComs(NUmhrcnd5vnc�
Princeton, IN 4767a
Li.
E-maii Tele onrNUm6rr £-n.ail
Under penalttes of perjury, l hereby certl(y that this Sales Disdosure, to the best o(my knowledge and belief, is true, correct
and con plete as requi ed by la n�, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure AcC.
Si ! rea/Seller Signao�rcaf5elfer
r �
. UYER 5' GRANTEE �.' PPLICATION �FOR PROPERTY�TAX DEDUCTIONS-.IDENTIFY ALL ITEMS THAT APPLY
Travis L Smith
Bv��eN-Nameasoppcarsamm�veyv Javment Buyer2�Nameasappeanomm�vcynncedocumm!
720 N. Ra
ondSVeeQ Address/Numberand5treetJ
Princelon, IN 47670-
Ciry. Smte. artd'LIPCMr Ciry. Smte, and ZIP Code
�
E� Trle haneNmnber E-mail
THE SALFS DISCLOSURE FOR�1 MAY BE USED TO APPLY FOR CERTAIN OEDURIONS FOR THIS QNOPERTY. IDENTIFS' ALL OF THOSE TNAT APPLY.
YES NO COYDRION YES NO CONDITIOY
x0 ❑ 1. Will Chis property be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of prima lieating/Cooling System
residence, including counry:
7008 S. HALL S7. 5. �Vind Power Device
AOdrcss(NUmbrrand5vee[) ❑ Q 6. Hydroelectric Po�ver Device
Princeton, IN 47670 GIBSON � � 7, Geothermal Energy Heaung/Cooling Device
[iry.5ru¢Z/PCodr [ovnry
�� 2. Does [he buyer have a homestead in Indiana ro be � � 8. Is [his properry a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9� 4VOUld you like to receive tax statements for this
complete address of residence being vawred, property via e-mail? (Provide contact informapon
includ ing county: below. Please see instructions for more informotlon.
Not avaifa6(e in all counties.)
Addrers(NUmberandSVeeQ q � `'.
GTIo- /'�-/�. �Q.�-OQ� %T3- 0�6
Ciry.imu➢PCade Counry !-
Pnmvry➢�Cerryowno<anmRnumr E-maif
Under penaltles of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are no[ necessary i(no Homestead Deductlon is
�be filed.)
�� 2 } �.,�.�
Signam�rofB+ryerl � / Signamreo/BVyer1/Spoutt
Iru��S L. _S.��f� Ol�i2/���
,
LastSdigi[soJBuyer]Drfver's Smce LastSDigimo(Sociol5ecunryNumber Lnstidigiao/8uyer2/SpouseDnveri Sm[e Las�SDigicso/SodalSecunry
License/ID/O[herNum6er A'umber License/lD/OtherNumber