HomeMy WebLinkAboutHomestead_CreaseyINDIANA SALES DISCLOSURE FORM SDF ID 26- 2009 - 1000283 Page 2
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SAMANTHA CUTSINGER BROADWAY TITLE, INC.
P. carer afthe Sato Duclasure Form
Tide
226 W. BROADWAY
BROADWAY TITLE, INC.
Address (,';umber am/Streer)
E -mail
; SELL ER(S) /GRAINTOR(S)
EARL D CREASEY
Seffer - A'ome as appenrr on comevrvxe drxumem
Seller - Name as appears on eimvevmxe do vmem
2275 LITTLE MOUNTAIN RD.
Address (Aumber and.Nrcer)
.address (Number and Sired!
RUSSELLVILLE, TN 37860
,]
lelephom Number E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true. correct and
ontplete as required b , aw, and is prepared in accordance with IC 6- 1.1 -5.5. "Real Property Sales Disclosure Act ".
Sgnamre o! Se /(o
Slgnarure of Seller
imed Name ofSelfcr Sign Dare /A(d1DOhlITJ
Printed Fome of5effer Sign lkue (F:.H %DDRIYYJ
BUI" RA \7 E_ PPLICATION FOR DEDUCTIONS AND CREDITS - -- IDENTIFY ALL ITEMS THAT APPLY
ERROL CREASEY
Brno- ,4'ame as aypean on comeywce .cunxm
8uver- •A'ame as appeas artmmnmxe da<vnxm
744 S 850 E
Ais e..(Nrsmber and 5treen
Address(Amrbo mrd Srrr+l
OA B-6lTY tQl.d7b60
Telephone •Number E -mail
HE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CE R'I AIN DEDU S PROP ERTy. IDEN T'I FY ALI, OF THOSE TI [AT
r I. Will this property be the buyers primary residence? Provide comp a
(7; 3. Homestead
address of primary residence, includine county:
r 4. Solar Energy.. 'Cooling System
3501 S 950 E
- ower Device
Address ( :Nlr,nlxr and Sari,
OAKLAND CITY, IN 47660 Gibson
r 6. Hydroelectric Power Device
Ore Sm:r, mrd ZIP C.,k Cmmm
r. 7. Geothermal Energy IleatingfCooline Device
F 2. Does the buyer have a homestead to be vacated for this residence? If
r S. Is this properry a residential rental property"
yes. provide complete address of residence vacating, including county:
r 9. Would you like to recieve tax statements for this property via
e-mail? (Provide contact information Felon. Please see rile
3744 S 850E
AA '
nistrucnwa for more m 'malia� V al available in al l cn oun tesa .)
m I
n
� 'QOQ O(� /'
OAKLAND CITY, IN 47660 Gibson
-a�uf-
•
Gn. Suve. and ZJP Code Cormry
Prbmarvp,,,en) owmrm.-ac+ munr E -mail
Under penalties of perjury. I hereby certify that this Sales Disclosure, tot the best of my knowledge and belief, is true. correct and complete as
required by law, and is prepared in accordance with IC 6- 1.1 -5.51 "Real Property
Sales Disclosure Act ". (Note: Spouse Information. Social Security
and Driver's License/ er no ers are not necessary if no Homestead Deduction is being filed.)
Signnrvre of Buyer
Sgrature of Bye
Erty� �TeacQyy 07�/��0%
Primed
Numb, Liceme/iD!Orher Number
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