HomeMy WebLinkAboutHomestead_Thompson (15)I�UL�NAS.\LESDISCLOSUREFOR�I SDFID SDOfD 716936 Page2
� D. PRGPARER
Kimberly A Lewis
Preynrer o(�he Scles Dudmvre Form 7itle
226 W. Broadway Broatlway Title, Inc.
Addres(A'vm6vandSVrnJ Campvny
Princeton, IN 47670.
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E. SELLER S GRANTOR S
Kathryn R. Mathis Camella J. Jones
Srller ]- Nome oa opyevrs om m�vqvnae Jaument Seller 2� Nvme os appevn un conviyvnce da'w�ren�
518 N. Prince St. 518 N. Prince St.
Addreu (NUmbrr ond5crretJ AEdrtss (NUmber on05vice[)
Princeton, IN 47674 Princeton, IN 47670.
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Under penalties of perjury, 1 hereby certi(y that this Sales Disdosure, to [he best o(my knowledge and belief, is true, correct
and com�/plete a� quired by 1 w, an is prepared in accordance �vi[h 1 .-5.5, "Real Prope a SDisclosure Act".
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F. BUYER S GRANTEE S-APPLICATION FOR PROPERTYTtU( DEDUCTIONS-1DENTIEY ALL ITEMS THATr1PPLY c
Clifton L Thompson Ruby M. Thompson
Buyr� 1� 6'umras ap�earsam m�veyvna dorumen: Buyer? � Name as apprars am m�vnnn[e daaummt
307 W. River Dr. 307 W. River Dr.
Add�ea(Numtnund5vert/ Addr¢s(�YUmberondSnnQ
Paloka, IN 47666 Patoka, IN 4766G
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,1LLOFTNOSETHATAPPLY.
YES VO COVpIT10N Y'ES NO COk�IT10N
x❑ ❑ 1. Will [his property be the buyer's primary Q ❑ 3. Homestead
residence? Provide compleie address of primary 4, So ar �nergy lieating/Cooling System
residence, including couniy:
518 N. PRINCE SL � Q 5. 6Vind Power Device
Add�ess(NUmbcrand5nm[J � Q 6. Hydroelectric Power Device
Princeton, IN 47670 GIBSON � � 7, Geuthermal Energy Headno/Cooling Device
Clry. Sla:e ZIPCade Counry
�� 2. Does Ihe buyer have a homestead in Indiana [o be � � 8. Is this property a residential rental proper[y?
vacated for this residence? If yes, provide ❑ Q 9. 4Vould you like to receive [ax statements for this
complete address of residence being vacated, property via e-mail? (Provide conmct information
induding rounty: belmv. Please see instructions%r more information.
Not available in all coun[ies.)
Addrm[Num6erand5vtt:) a6_�a-�� ao�-ex��.��a-va8
Ciry, Sm[rZIPCode Lounry
Pdmervpraperry o�mer conma nume E-mail
Under penalties of perjury, I hereby certify that this Sales Disdosure, to the best ofmy knoH•ledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with 1C 6-i.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 Deduc[ion is
being filed.)
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