HomeMy WebLinkAboutHomestead_Vaughn (2)I�DIA\A SALES DISCLOSURE �OR?I
PATRICIA A. KOLB BROADWAY TITLE, INC.
� 226 W. BROADWAY
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PRINCETON, IN 47670
Cin•, Smre. and LP Code
SEGL
CLl+YTON R. WEST
Seffer -.Yame ai oyMxvs un mme9�urcedoavmenr
1596 GREGORY RD
Arltress lNUmdrr a d.5vice[)
EODYVILLE, KY 42038
SDF ID 26-2009-1000261
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CLOSING MANAGER
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BROADWAY TITLE, INC.
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PENELOPE W WEST .
Seliar -,Ymne ai apE.evr an concemae deevmem
1596 GREGORY RD ,
AArf�eu (:�Yunbe.anJSnrrtl
EDDYVILLE, KY 42038
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-mail Tdephone 15�mbo E-mcil
)nder penalties of perjury, 1 hereb�� certifi� that this Sales Disclosurg..�best of my knowledge and belief, is true, correct and
omplete as required by law, and is prepared in accordance with I(.` 6-1.1-a ,"Real Propert}• Sales Disclosure ��c[".
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-;Al`N�LICAT[ON.FOR DEDUCTI
LARRY P VAUGHN
Rwer - h'ome a� oyprms
EJB S SPRING�S7
47670
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7'deyhortc �1b.nW E-mui!
r I. ���ill ihis property be the bu}'ers primary residence? Provide
addrzss ofprimary rcsidcnce, indudine counp�:
1706 COTTONWOOD ORIVE
.IdAre.v (.�Snnber on,f Anrti
PRINCETON, IN 47670 Gibwn
Cirv. Stme, m�dL➢CaJe Courrn•
r?. Doe> [he buyer have a homritead m be e�acated �or this residenct? I f
yes. pro�•ide complete address of rcsidence vacatine, intludin� counp�:
AdArrss (.�umberanJSrre<0
�Q,� . �.� �e s To�
A,� D.CRl:-01"PS -dDENTIFI' ALL ITE�IS'I'HAT APPLI'-'; �
as appr vs an carvnmxe
Addre.cr L�'umhcrsrJS:nrr�
r�_ 3. Homestead �
r 4. Solar Encrev H e�Cooling Systcm
r, 6. Hydrocicciric Powcr Dcvicc �
r, i. Geoihertnal Energy Flca�ing/Cooline Devicc
r 8. 15 this propcm� a residemial rcntal proprm•^.
r. 9. U'ould you like to recieve ta.e statemrnss tor this propzm• via
e-mail? (Pro��ide conracr in1'ormmian helow�. Plrase seelhe
iratrvclinns (or more nrfor tinn. :Vw m�ailr.h(e in u!( camuies.l
?� /a-c�- �/-o��� ��; -Qd�
Cip�..8uie.andLPQde Ca�mn Y.imarvproperry•ovmermrs:xtwnr E-mail
Under pena ues o perjun'. 1 here c certity [hat ih�s 'ales Disclosure, to [he best oT my -noNiedge an e �e , is true, correct and complete as
required br law, and is prep ed in accurdance �.ith IC 6-1.1-55. "Real Propert�� Sales Disclosure Ac[". (\ote: Spouse Information, Social Securih�
and Dri��e�'I.icensyipther�mbYrs ure nut neces+en� i( no 1lomestead Ueduction is being filed.)
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