HomeMy WebLinkAboutHomestead_Williams (19)' L�'DU,YASALESDISCLOSUREFOR\I SDFID SDOID 953376 Page2
D.PREPARER .� ' . . - . . .
PatE Kolb Closirg Manager
Vrepartr of�he5ala 06dasv�e Form Tltle
26 W Broadway Broativray Ttle, Inc.
Addrm[Num6erandS>ee[J Comysny
Princeton, IN 47670-
E.SELLER S � GRANTOR S - � �� � �
Neil A Hopf Jennifer E Hopf
Seller ]� Nameas a➢Y�rs om m�ve�nnce dotvment Sd/e� 2� Name ai appears on tronveyanre da�'umenr
504 E John Sl 504 E John St.
Address (Num6er and5treet) Address (NumberonQSRx[)
Fort Branch, IN 4764& Fort Branch, IN 4764&
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E-mail
Under penalties of perjury, 1 hereby certi(y that [his Sales Disclosure, to [he bes[ of my knowledge and belief, is [rue, correc[
and com. I�uire by law, and is prepared in atcordance w' h IC 6-11-5,5, "Real Property Sales Disclosure Act".
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x❑ ❑ 1.4Vi11 this property be the buyer's primary x � 3. Homestead
residencc? Providc complere address of primary 4, o ar Energy Heating/Cooling System
residence,includingcounty: � �
504 E. JOHN ST. 5. Wind Power Device
Addreu/A'umbrrondStmtj ❑ Q 6. Hydroelectric Power Device
Fort Branch, IN 47648 GIBSON � � 7, Geothermal Energy Heating/Cooling Device
GN. Nate ZIPCoCe Caung•
��] 2. Does the buyer have a homesread in Indiana m be � �$� �s this property a residential ren[al property?
vatated for this residence? If yes, provide ❑ 0 9� �Nould you like to receive tax statemen[s for Ihis
comple[e address of residence being vacated, property via e-mail? [Provide conmct informanon
�ludin munty: below.Pleaseseeinstructions(ormoreinformation.
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Primary➢ropertyownnconmctname E�mail