HomeMy WebLinkAboutHomestead_Wildt (5)INDIA\p�5ALE5 DISCLOSURE FORJI $DF ID SDO m 464584 Page 2
�b.`PREPARER . � ' �=. � =-._ . ..-,,,. : . . . " .- ; . . -
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�Samantha Cuisinger
Preparero/Ne Saln Oiulosure Form Title
226 W. Broadvray Broadway Title, Inc.
Addras/Num6erond5veetJ Comyany
Princeton, IN 4767Q
Ciry, Smre, anE ZIPCaEe Telrphone Number E�mall
EiSELLER S � GRe1NTOR S � � .-•, . -,.. . . .-`,��: F -� — ,. •, .. . ,. . _ r :: _ .
Lankford Properties, LLC ChaseLankford
Srller 1- Nameasappeors on mmryanae'bcvment Sr/(er 2- Name as opymrs om m�vewn<e dorument
56 E 400 N eo� s. stormont
Addresslh'umber ond SaertJ AdLr� (NumbnnndSVerQ
Patoka; IN 47666 Princeton,IN47670.
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7Me hone Numd.r E uil Te/e vne Number E-mall
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, to [he best of my knowledge and belief; is true, wrrect
�and co gle[e as quv by law, and is prepared in accordante w� IC 6-1 .5, "{�al Prope les Disdosure Act'.
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F.BUYER S GRA1 E S-APPLICATIONFORPROPERTY:T DUGTIONS-:IDEIJ�6 :ALLITEMSTHATAPPGY -
Jerertry D Wildt
TIESALESDISCLOSUREiORMMAYBEU5EDT0APPLYFORCERTAINDEUURI0N5F . LOFTNOSETHATAPPLY'.
VFS VO COYURION I VES NO CO\OITION
❑x ❑ 1. Will this properry be the buyer's prim Qx � 3. Homest
residence? Provide complete address f p' , , o ar Energy Heating/Cooling Sys[em
residence, including county:
906 S. ROBIN ST. - ❑ Q 5. 4Vind Power Device
Address(NUmberand5[reev) ❑ Q 6. Hydroelectric Power Device
Princeton, IN a7670 GIBSON � � 7, Geothermal Energy Heaung/Cooling Device
Ciry, Smu 21P Code Coonry
� � 2. Does the buyer have a homestead in Indiana to be ❑ � 8. Is this properry a residential rental proper[y?
vacated for this residence? If yes, provide ❑ � 9. lVould you like to receive ws statements for chis
complete address of residence being vacated, properry via e-mail? (Provide contact information
including county: below. P(eose see ins[ructions%r more in(ormation.
Notavaifable in all counties.)
Addr¢t (Nvm6er ar.dSVreQ
Ciry.Sm�eZlPCode � ^/� /� /D �' �• /� ��
Counry
Pn'marypmpe�ty owner car.matnamr E�ma:i
Under penalries of perjury, I hereby certify that this Sales Disclosure, m the best o(my knowledge and belie(, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
being filed.) � � �
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