HomeMy WebLinkAboutHomestead_LynchFORM
Rav M. Drulev Attornev No. 4759-26
Reparrro/NeSaloD'oslasurcForm T�e
505 N. Church Street. P O. Box 146 Law OKCe of Rav M Drulev
Mdrar(Numberend5trttt) Compony
Fort 8rench. IN 47648
E-mail
s�on s� r.i��. s,
Se�1e�)-� G"conveyoncedxumm[
��
5560 W Old Prinreto Road
Addras (NUmberand Strer!)
OWP.f15V1IIP IN 476Fi5
Gry, Smrq and7J➢Code
Name as oppears an tonveyvnce dotumml
Add�ar(Nvmberond5treetJ
Ciry, Sw[G ond LPCade
Under penal[ies of perjury, I hereby certify that [his Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and plete as required by Iaw, and ' prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
�_� n� �„ . %� ,
1- Numraa oppyY's on ronvqanct doavmml
Princeton.IN 47670
?-� �
THE SALES OISCLOSV RE FORM MAY BE USED TO APPLY i0R CERTAIY DEDURIOYS FOR
SlgnaNreoJShcer
Buyer2�Namearappec nveyvn[edotument
�92 W. Pinknev Street
Addrer(Numberand5trre[J
.�
IDEtffliY ALL 0'T!{Q[E TNAT APPLY.
�❑✓ � 1. Will [his property be [he buyer's primary Q � 3. Homestead
residence? Provide tomple[e address of prima � � q, Solar Energy Heati /Cooling System
residence, incl�ding county: .
502 W.Pinkney
Addrm (Number and Sbeet)
Princeton. IN 47670 Gibson
Ciry, Smre LPCoCe Counry
❑ ❑� 2. Does [he buyer have a homestead in (ndiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
Addres (Numbv and Srmt)
Ciry, Smte7JPCade Counry
❑ Q✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geo[hermal Energy Heating/Cooling Device
� �✓ 8. is this property a residential rencal property?
❑�✓ 9. Would you like to receive tax statements for this
Er,� property via e-mail? (Provide contact informatlon
� 6elow. Please see instructions for more in�ormadon.
\ Nat available in alI roundes.)
oT� - /a-� � 3a.3 -G�3.•300 - da�
YnmarvaoxrNOUmermnmaname Email
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
be]ngi�ed.)
��/ � Cs�./ �lii�,f�� �/1LiJ%L�i�
9gnaNreoJBuyer] �5 nanireaJBuyer2/Spouse
Arian P I ynch OR/95Y)O10 �nda R �ynnh Ofll75/7010
GPrinrcGdlegvlNUmeifBVyv1 /
License/ID/OtherNumber Num6er Lirense/10/OtherNumber
��