HomeMy WebLinkAboutHomestead_Burkhart (2)I\DUN.\ SAI.ES DISCLOSURE FOR�f SDF ID SDO ID 937666 Page 2
;�D:PREFARER'� _� �:�'.> .....�. �� `" �- _..,., z-,.�, . - _.,- :=- . - �.._7_' E�r�" -°
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Ki,nbeAyA. Levris Office Manager
Prcpurerofthe5olaDiulosureForm Ti[le
226 West Broadvray Broadway Title, Inc.
Addresx(Numberand5aeerJ Company
Princeton, IN 47670-
��E.�SEI:�ER S'.GRi1NTOR $ .€''? �.�`.�..�'.Y_'�t� �;_i� .%C..:=Vf `;� `4'"x'- :����'v .%:`- � � vi: ,t .* .a�'. '
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Se(Irr 1- Nume as vppears on mmryvn¢ dxvment SMIel Z- Name as oppeurs om m�rrynnce darumw[
938 S 150 E
Addres (Nunber and5veetJ Addrtss(NumbermdSlreeQ
Princeton, IN 47670-
Ciry.SmlG andZlPCade Ciry, Smte, andZlPCode
E-moll Tele haneNUmSer E-moli
Under penaltles of perjury, I hereby certify [ha[ this Sales Disdosure, m the best of my knowledge and belief, is hve, correc[
and spmplete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
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Signamre o(Sel/rr l 5fgnamre o(Seller
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:F: BUYER S`GRr1NTEE S`_'APPLICATION;FOR PROPERTY;TAX DEDUCTIOIvS=1DENTIF,Y;ALIi ITEMS':.THAT APPLY -�: _
Hannah M. Burkhart
Bv}�er 1� Nome as appevrs om m�v¢�vntt daeument 8vyer Z� Name osappmrs on mm�eyanre documm[
10$ W. BrOadway
Addrea(Numherand5oert) Addreu(,YOmbermdS[rtri)
Princeton, IN 47670- �
Ciq�, Smle, and ZINCOdt Ciry. Sm[e, andYlPCOde
E�mail 7'ele honeh'vm6er E-ma0
THE S.LLFS DISCLOSURE FORM hIAY 6E USED TO APPLY FOR CERTAIY DEUUCfi0Y5 FOR TNIS PROPENTV. IDEhTIFY ALL OF THOSE TlIAT APPLY.
1'ES NO CO\DRION 0 CONDITIO�
x0 � 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,includingcounty: � �
523 E. EMERSON ST. 5. Wind Power Device
Addrea(KUm6era�dStreeQ ❑ Q 6. Nydroelectric Po�+-er Device
Princeton, IN 47670 GIBSON � � y, Geothermal Energy Heating/Cooling Device
[!ry, Sm:e Z/PCode [aunry
�� 2. Does the buyer have a homestead in Indiana to bc � � 8� Is this property a residential rental property?
vacated for this residence? [f yes, provide ❑ Q 9. Would you like to receive tax statements for this
complete address oFresidence heing vacated, property via e-mail? (Provide rontoct information
induding county: below. Please see instruc[ions for more in�ormation.
Not available in al! counties.)
Address(NumbvaMSme�J � � I ^ �� �� — ��` ��'O
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Gry.SW�LFCade Counry
PnmaryP�PU4'�'nercnnta[lname E-meil
Under penaldes of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, wrrect
and complete as required by law, and.is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduction is
i'gfiled.) � I
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