HomeMy WebLinkAboutHomestead_SollmanI\DIANASALES DISCLOSURE FOR�1
D.PREPARER
Samantha Cutsinger
I R'eyareroJ[he5cles0iulosvreForm
226 W. Broadway
Addren (Numhe�andSVeetJ
Princeton,IN 47670.
O,y, Smre, ond ZIPCOde
E. SELLER(S)/GILINTOR(S)
Jason W Cluner
Se/fer ]� Name vs appevn on mme�vme Jaummt
237 W 225 N
Addrru (Number ond SvreQ
Princeton, IN 47674
c.>�.
$DF ID SDO ID 930584 Page3
Under penalties of perjury, I hereby certify that this Sales
and complete�e A�r�by law�.isyrepared in accoi
—�.
F. BUYER(S)/(
Mark A Sollman
Bu��er 1 � N°me ^<
231 E 1200 S
IN 47639-
THE SALES DISCLOSURE FORl1 MAY BE USED TO APPLY
x� ❑ 1. Will this properry be the buyer's primary
residence? Provide complete address of F
residence, induding county:
237 W 225 N
AAdreu(NUmberand5veeq
Princeton, IN 47670 GIBSON
Ciry. Smte ZIPCoCe Counry
�� 2. Does the buyer have a homestead in Indiana ro be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including rounty:
nddrrss (n'umher onASaeer)
Ciry, SmteZlPCode Counry
Tltle
Broatlway Title. Inc.
Compony
CouMey L Clu�ter
Sellrr3 - Nume as apyevrsom m�ve�vn<e dxvmenl
237 W 225 N
AdErm (NUmbo ond5beet)
Princeton, IN 47670.
Gry. Smtc, anAZIPCade
_ '�-� N/}
to [he best o( my knowledge and bel' f, is
TQ6-11-5.$, "Real P c�ygpi'ty,S sc psi
ACLITEMSTHATAPPLY
Buyer 2� Name as nppevn on [envevnnce dxumen!
AEdras (Number and Strret)
Sm[e, and'LI➢Code
THAT APPL\'.
Q ❑ 3. Homestead
�'�-� _
� ��_�1 Sol�r Ener eating/Cooling Sys[em
� Q 5. Wind Power Device
� Q 6. Hydroelectric Power Device
� Q 7. Geothermal F.nergy Heating/Cooling Device
� Q 8. Is this propercy a residential rentai property?
� Q 9. Would you like [o receive tax sta[ements for [his
proper[y via e-mail? (Provide contact informotion
below. Pleasesee instrucpons�or more information.
Not available in all coun[ies.)
a�-o� -y� al1000 �09 oa-�
Yrimarvnmxm ownei m�ma name 6'-mail
Under penaltles of perjury, I ertify [ha[ this Sales Disclosure, [o [he bes[ o(my knowledge and belief, is true, correct
and complete as require I , a is prepared in accordance with IC 641-5.5, "Real Property Sales Disclosure AcC. (Note:
Spouse informatio ' I S uri and Driver's License/Other numbers are not necessary ifno Homestead Deduction is
being fil .)
SgnaeyreofBy�erl A �j � f Signaareof8y�er1/Spouu
5
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Sm[e LostiDigimo(Social5ecunryNUm6er
Gnnred I.rgal Name a/ Buyn 2/Spouse
Sign OcIe�M.N/DU/YYYVI
LastSdigifsojBuyer2/SpauseDnveh Smte Last50igiao(SociclSecunry
Numbe� License/!D/Othertfumber