HomeMy WebLinkAboutHomestead_PeekSALES DISCLOSURE FORM SUF ID:
Preparerojthe Sales Dixlosure Form
1904 Boulevard Place
r� (A'umber and S.Tee!)
. ceton IN 47670
Ciry, Smte. aod ZIP lade
Selkr I� A'ame ar appevrs on conveyunce documer,t
1307 S ?00 W
Addres (A'umber and Snee:J
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as
ofSeller
Tftle
Campany
Seller 2� Name os appeors on conveyance document
Addras(NUmberand50-m[)
liry, Smte, andZlPCode
E ma(1
of perju I hereby certify that this Sales Disclosure, ro the best of my knowledge and belief, is true, correct
req�ire�j iy law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC'.
Buyer ]� Nameas apyoCGs on romeyanre dxument
7904 Boulevard Place
Addras (A'umber and Snee[)
Princeton IN 47670
Smte nnd Z/P Code
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iHE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR LERTAIY DEDUCTI08S FOR
�✓ � 1. Will this property be the buyer's prim�
residence? Provide complete address o �ma
residence, induding coimty:
/ 9v y Tsou I� vc�,a( r� I
Addras (h'um ber a nd S[ree[) /'
�ri�'lLE�O����@� '�i%G7a CiIf�SO/li
[iry, Smte Z1P Code Counry
� �✓ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
5�77 � 1��l��%s �o�:/ ��f;�
Addras (�\;um ber and Street)
`Duti�;s �N ��s�� ��uh�rs
Ciry, Sm[e ZIPCode Coun.y
Signa[ureaf5eller
Buyer2 - Nome os appears an cronveyunre do[umen[
Addrea (Numberond5[ree[)
Liry, Smte, andZlPlode
E-mail
APPLY.
✓� � 3. Homestead
nergy Heating/Cooling System
o�er Device
6. Hydroelectric Power Device
U " 7. Geothermal Energy Heating/Cooling Device
� � 8. Is this property a residential rental property?
� [.3� 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instrucdons for mare L�formation.
Not avarlable in all coundes.)
, __ : .� •� - I •• �
name
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, S'al Security and Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
be� led.)
� '
/ �mrea yrrl Signa:ureofBuyer7/Spouse
/ � �
Printe�iLegal
InstSdfgitsoJBuyerlDriver's Smte LastSDigifsojSocialSecuntyNumber LastSdigiGSO(Bwer2/SpouseDriver's Smte LasfSDigi6o�5xialSecuriN
Ltcense/fD/O[herNumber Num6er License%lD/OtherNumber