HomeMy WebLinkAboutHomestead_Kissel (2)1\DIA\ASALESDISCLOSUREFOR�I SDFID SDOID 930635 Page2
D.PREPARGR
Samantha Cutsinger
Aeyartro/Ne 5cles Oudamre Porm Title
226 W. Broadway Broadway Ttle, Inc.
AJJress(NumGerond5vertJ Campany ,
Princeton, IN 47670-
G.y, Smte, andZIPCOEe Teleyhone Number E-mall
E. SELLER S GRANTOR S �
Jacob Muncy Madene Muncy
Srl7er ]� A'ame er apyean m�unveyunir drcumen� SellerZ � Nume ns nppean on �vnmvn�e d/a7'u�Jmem
M4-E.-Sta76-Sir ^) `I-11 S�1L'cl.t .�Si 4� i t.�v°'-i�=d,- ,� l�(/ S/�/� i��l ���
Addrest(NUmberondSVrrQ ACdrus(A'umberand5:me�)
P�s�a tldd �� �, 11'L � T l_(a�-� 1�-I w�,.u�-a�s�a �1�1 �r=��; I��T( L�-�a � �I
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Unde alties of perjury, 1 hereby certify that this Sales Disdosure, to the best o(my knowledge and belief, is true, correct
a�om ete as re uir y law, an is prepared in accordance witt C-1.1 .5, "Rea�l/� r erty Sales Disclosure Act".
1 � f�l /�G4 �
`--.Hgnar eo Se/!er Sig mreaf5eller
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F. BUYER S GRANTEE S-APPL ATION FOR PROPERTYTrUC DEDUCTIONS- IDENTIFYALL ITEM THATAPPLY
Heather Kissel
Hv�rr 1- Nvme m appmrs an rnnveyvnre datumen; Buyer 2- Name os appevrs on convewnre dotument
511 N. Gibson
Addres(,YUmberandSUerQ Addr¢s(Nombe�ond5treey
Princeton, IN 47670.
�Ciry.Smtt.onCZl7CMe . `1 ,!� Ciry,$[ute.andZlPlade
E-mail Tde neNumber E�mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCfI0N5 FOR THIS PROPERT'. IDENi1F1' ALL OF THOSE THAT APPLY.
YFS YO COHDITION YES NO CONDITIDN
x❑ ❑ 1. Will this properry be the buyer's primary Q ❑ 3. Homestead
residence? Provide complere address of primary � � 4. Solar Energy Heating/Cooling System
residence,indudingcounty: � �
4N E. STATE ST. 5. �Vind Power Device
AAdress(NUmberand5[net) � Q 6. Hydraelectric Power Device
Princeton, IN 47670 GIBSON � � 7. Geothermal Energy Heatlng/Cooling Device
Ciry, Smce ZIPCOde Covnry
�� 2. Does [he buyer have a homestead in Indiana to be � � 8. Is this property a residen[ial rental property?
vacared for this residence? If yes, provide ❑ Q 9. Would you like to receive tax s[a[ements for this
complete address of residence being vacated, properry via e-mail? (Provide contoct information
including counry: below. Pleose see instructions/'or more in(ormation.
Not available in al! counties.)
Addrm (h'um6er andSVea)
Ciry,SmteZlPCode Counry � �-�a.�� ao3 �/ �/��� �� �
Pn'maryproperry mvno mr.mrt numr 6��mail
Under penalties of perjury, 1 hereby certi(y tha[ Ihis Sales Disclosure, to [he bes[ o(my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduc[ion is
b �ifj\g( `filed.) -
ignaturco � er�\��� Signa[oreo7�+l'rr2/Spouse
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Los:SdigifsofBuy�erlDriver's Smre Los150igibafSxiolSeturiryNumber LasrSdigitsa(Buyer2/SpovseDnver's �Sta[e GastSDigitso�5acia15etunry
Licertce/ID/O[herNumber h'umber License/lD/OtherNumAer