HomeMy WebLinkAboutHomestead_Tedrowf\DIA\pSALESDISCLOSUNEFORN SDFID SDOID 728798 Page2
D.PREPARER
Samantha Cuisinger
Preyarer a(tAe Scles D¢dosurc form Jine
226 W. Broadway Broadway Title, Inc.
Addro� (�1'um6er mAStirrQ Compony
Princeton, IN a7674
E. SELLER S GRANTOR S
James D Smith
&Iler ]� A'ume us oppeon on run.rymie Juument SeNei�7 � Nume ar upyevrsun ronmwae damnrnl
118 W. Pine SI.
Addrezs (Num6er ond S[rerQ dCdrcss (A'vmber and Svee[]
Princeton, IN 4767U
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Under penalties of perjury, I hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correct
anA complete as required by laa•, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC.
ignanvzofSellrr Signamrraf5efler
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F. BUYER S GRANT S- APPWCATION FOR PROPERTY TAX DE NS- IDEN LL ITEMS THAT APPLY
Larty C Tedrow Judith K Tedrow
Buyeri�M1'amensop omm�vevanredarumen: Buyerl�Nameusappeorso wmnnceda�um.mt
6346 W. U 150 � �
I dddrecs(A'umberand5[rerq dCdras(NumbrranCStrret)
West Baden Springs, IN 47469- West Batlen Springs, IN 47469-
THESALESDISCLOSUREFORMMAYBEUSEUTOAPPL\'iONCERTAINDEDURIONSF flTH15 PERTY.IOENTIFI'ALLOFTNOSETNAT PLl'.
YES NO COYOITION 1'ES NO COYOITIOY
x� ❑ l. Will this property be the buyer's prima ❑x ❑ 3. Homestead
residence? Provide romplere address o rimary � � 4. Solar C•nergy lie ' g/Cooling System
residence, including couniy:
778 W. PINE S7. � ver Device
Address/Numberond5:rx[J � Q 6. Hydroelectric Po�ver Device
Princeton. IN 47670 GIBSON � � 7. Geuthermal F.ner�y Hea[ing/Cooling Device
Ciry, Smce ZIPCade Caunry
�� 2. Does the buyer have a homestead in Indiana to be � � 8� �s this properiy a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9• bVOUId you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contnct informotion
induding counry: below. Pleose see instructions/'ar more in(ormatian.
Not available in all counties.)
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Under penalties of perjury, I hereby certi(y that this Sales Disclosure, [o the best of my knowledge and belie(, is [rue, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary i(no Homes[ead Deducrion is
being filed.)
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