HomeMy WebLinkAboutHomestead_Ramsey1\DIANASALESDISCLOSURF.FORA1 SDFID SDOID 930931 Page?
' D..PREPARER ' �' � - t " E �. »�a. ^ ' - ..� ' < �. ' L -.
C Baveit
Pseparer ofthe Salet D&dosvre Form iirfe
226 W. Bmadvray Broadway Title, Inc.
Address(NvmberandSVtttJ Lampany
Princeton, IN 47670.
.-E`SEI:I'ER S GRANTOR $ .± .� :.q i ,--,��� r� �� .e � ;.i'-S .�t::�-r� t'�, =..' ` ' " ie,�'C
Jimmy Adams Estale of Geraldine Eads Gregory Mclntyre Estate of Geraldine Eads
Seller ]- Name as ayyroa on wm'ryan[<de[ummt Seller7 - Name u appearsw mnveyvrtre Exument
,� �j7 Z(,V j p p � 3750E SR 68
Addres Numberand.krzet) AdCrts(KumberaMSneetj
�, c e ,,, ,-�i�7 N 7 6 7 d Haubstadt, IN 47639-
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ie/eh.oneNum6rr -mail TelelroneNumbn E-mall
Under penalties o(perjury, l hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
and compl [e as reqwr by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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.F.BUYER S ARANTEE S .-:�APPL(CATIONiFORI?ROP.ERTYTA7C�DEDUCTIONS=7DENTIF7�AliCITEMSTHAT<APP1:Y��,.s' r _ � ' -
Glen A. Ramsey Tomi D. Ramsey
B�yer 1� Name as appmrs om m�vevuntt daument Bvya 2- Name os appeers on �onreyonae Commm[
6997 S 550 W 6997 S 550 W
AECress [NUmber and Svee[J Address (NUmberand StreetJ
Owensville, IN 47665 Owensville, IN 47665
nrv Srore, and ZIP Code Ciry, Sm�e, andZlPCOde
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umber E�mail
TNE 5,1LF5 DISCLOSURE FORM MAY BE USEO TO APPLY F00. CEPTAI.Y DE�IIRIONS FOR THIS PAOPERTY. IDENTIFY ALL OF THOSE THAT TPPLY.
YES NO COYDRIOY NO COYDITION '
Q � 1. �Vill this properry be the buyer's primary estead
residen�e? Provide complete address of primary � Q 4, Solar Energy Heating/Cooling System
residence, induding county:
707 TRETTER PARK DR. ❑ Q 5. Wind Power Device
Address(RUm6erarMSfrteQ ❑ Q 6. Hydroelearic Power Device
Fort 8ranch, IN 47648 NOTAPPLICABLE � � 7, Geoihermal Energy Heating/Cooling Device
Ciry. Sm[eZIPCade Counry.
�� 2. Does the buyer have a homestead in indiana to be � Q 8� �s this properry a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. Would you like to receive tax statements for this
comple[e address of residence being vacated, property via e-mail? (Provide contac[ in(ormatlon
induding county: 6elow. Please see instructions for more information.
Not available in all countles.)
.4ddrecs(,YUmberand5vee[) ,.,J�rr/�—IV ��V1 �V`/O./:���.T1/
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Ciry, SmreIIPCade Counry
PnmaryOropertyawnermnrnttname 6mai1
Under penalties of perjury, l hereby certlfy that this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in acmrdance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/0[her numbers are not necessary if no Homestead Deducrion is
being filedJ
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