HomeMy WebLinkAboutHomestead_HendricksL�DIASASALES DISCLOSURE FOR\f SDF ID SDO ID 936698 Pag<2
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`-D:'.?REPARER; - � e -_ � i:Gt. ' �.3:-� ,.r�c:�,,..: . i,. - c-�:-,;, t- � - _ -
FtimbeA A. Lewis Office Manager
Prepvrero(fheSvles Distlosure Form 7itle
226 W. Broadway Broadway Ttle, Inc.
Addres (NumbrrendSO'eee) @mpany
Princeton, IN 47670.
Ciry, Smce, andZfYCOde ielephorte Nvmber E-mail
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aE'.SE�I:ERS'.GRANTORS �?c;;..�-s.,c.i�,.. �^.. - e,_!..,,.....+,��::.-�� z.-�..�v�.i'kC._Y �.:"`.�r4.:..:-t rz 1'.*��.,�c-1�,,,-if_. <.s.
Lloyd E. Jones KarenA. Jones
Selltr I- Nume m oopmrs on ronvcynn<e daaummt Sefle� 2- Nvmr os appmrs on mrt�r�nnae darumen[
722 Highland Ave. 722 Highfand Ave.
Addren (NUmbtrand5veet) AAdrva (Nuniber andSlree[)
Oakland City, IN 47660- Oakland City, IN 47660-
City, Sm<e, artdZlPCode .1 Ciry, SmtG and LP lade rt
E-ma0 iele nneNUm6er E-mall
Under penaltles of perjury, I hereby certi(y [ha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and nple[e as r�ir by law, and is prepared in accordance wi[h 6-1.1-5.5, "Real Property Sales Disclosure Act".
Sipnotu�eo el/ler ,{ Sigv eo(Sell¢r ,/� ]
%1%� CJI � � �� �/� `e'1'1 � � CS / �2
F: BUYER S GRANTEE S_-.APPLICATION FOR PROBERT.Y,TAX DEDUCTIORS'=`IDENTIFY:AIL ITEMSTHAT APPLX: - -- -
Jennifer R. Meece
Buyer 1� Name as appevrs on conveyvnce document Buyer 1- Name as appmrsom m�veyanae docummt
275 W.Cherry St.
Addrea(Numberand5heet) Address(Numbrrund5tnetj
Oakland City, IN 47660-
Ciry, Smte, and LPCOde Ciry, Smtt an0 ZIPCOde
Te(e hane;:umDer Email THe h.aneNum6er E�m.atl
TNE SALES DISCLOSURE FONM AIAV BE USED TO APPLY FOR CERTAIN DEOURIOVS FOR THIS PROPERTV. IDEhTIFY ALL OF THOSE THAT APPLY.
!'ES NO COhD1TI0N YFS NO CONDITIOY
Q � 1. Will this property be the buyer's primary ❑X ❑ 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county: � � �.
517 DALE ST. S. N �nd Power Device
Addres(Bvm6erand5aeet] ❑ Q 6. Hydroelectrit Power Device
Oakland Ciry, IN a7660 GIBSON � � y, Geothermal Energy Heaang/Cooling Device
Clry. Sm;e 2lPCOde Caunry
�� 2. Does the buycr have a homestead i�� Indiana to bc � � 8. IS this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. Would you like to receive tax s[atements for this
mmpiete address of residence heing vacated, property via e-mail? (Provide contnct informotion
including county: below. Please see instructions for more in/'ormation.
Not uvailable in al! counties.)
Addreu (A'um6er aM Svretf
� %-I �I S �3C�' 1. l0'�l 00 �'
City.5la4LFCode Lnunry
Pnmarypmpeityau�nermnmctname 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 comple[e as required by law, and is prepared in acwrdance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse informahon, Social Security and Driver's License/Other numbers are no[ necessary if no Homes[ead Deduc[ion is
bein �led.)
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6as[SdigiGSOfBuyerl0nver's Stote LustSDigiaofSociol5ecuriryNumber LastSdigi[so(Buyer7/SpouseDriver's State Gas[50'Viaa%Social5ecurity
License/lD/Olhe�Number Number Llcense/ID/OlherNumber
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