HomeMy WebLinkAboutHomestead_Taylor (9)I,�'DIA\A SALES DISCLOSURE FORJI SDF ID SDO ID 467141 Page 2
D. PREPARER � � � ' � � � �
�Samanlha Cuisinger
Preyarer o/�he Sala Oudosure Form Title
226 W. Broatlway Broadway Title, Inc.
Addraz(NumlwandSVeel% Company
Princeton, IN 47674
E. SELLER S GRANTOR S � � -
Michael J Coomer
Srller ]� Name vs apyean ort mnrryaMe davmmt Sellerd � Name as apyevrson avmr�anae darumrnt
317 Makemson Ave.
AC7ren (Number vnd SmeQ ACdrrss (A'vmber and S:+ett)
Princeton, IN 47674
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E�m�if Tele�haneMUmber Email
Under penaltles of perjury, I hereby cerdfy [ha[ this Sales Disclosure, to the best o( my knowledge and belief, is true, correct
and complet as re uired by I and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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.�UYERS GRANTE S -APPLICATION-FORPROPERTYTr1XbEDUCT[ONS-IDENTIFYALLITEMSTHATAPP�Y �
Jerod L Taylor
Buye�l�NV ., pearsomm�veyonttAavmen: Buyerl-Nameasappearsoncanvewncedaaummt
I4 ate Rd 64
dddress (NUm6rrand StrreQ dddras (Num6er and Strrey
Princelon, IN 47674
Ciry.Smte.andZlPCw:e � Ciry.Smre.and%IPCode
E-mail ide honeNUmbe� E�mail
7HESALESDISCLOSUBEFOftMMAYBEU5EDT0APPL1'iORCERTAINOEDUR10Y5FOR ERTV.IDEtlfIFYALLO ETHATAPPLY.
YES NO CONDITION YES NO LONDITIO,4
Q � 1. Will this properry be the buyer's primary ❑X ❑ 3. Homestead
residence? Provide complete address of prima , , rgy Heating/Cooling System
residence, including county: � �
317 MAKEMSON AVE. 5. 4Vind PotVer DeviCP
AAdres(Numberand5<reeo) ❑ Q 6. Hydroelectric Po�ver Device
Princeton, IN a7670 GIBSON � � �. Geuthermal Energy Heating/Cooling Device
Ciry, Smre ZIP Code Counry
�� 2. Does the buyer have a homesiead in Indiana m be ❑ � 8. Is this property a residential renial property?
vacared for this residence? If yes, provide ❑ Q 9. Would you like to receive tax statemena for this
complete address of residence being vacated, properry via e-mail? (Provide contact information
induding rounry: below. Please see rnstructions%r more in%rmation.
Not available in all counties.)
Address(NUm6nar.d5aee:) �oo ��� �� p
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[iry, Smte Z/PCOde Covnry
NimarvproPerryo�m<r�anmatname !'-mail
Under penalties of perjury, 1 hereby certlfy that this Sales Disclosure, [o the best 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 Act". (Note:
Spouse informatl L Social Se rity and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
being filed.)� ;
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