HomeMy WebLinkAboutHomestead_Byrns (5)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER
C. Dean Hioqinbotham Attomev-At-Law
PreporerofrheSulesDlr��ovreFOrm T���e
208 Easi State Street Hioqinbotham Law Office
ndlrtsiQiamLtv-ami5orztJ lompany
Princeton Indiana 47670
E-mail
E. SELLER S GRANTOR S
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Sellar 1-Name as appmrs on ronveyanre dorument Selfer 2- Nume as a
ppevr on tonveynrtre dxumenr
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IdJJi.�.(iiurnlrund54m/j riJJim(i.ummundSLrxQ
HnnvPr Alahama 45?44 �
Gry, Smr¢ and ZIP [ode 4N. Smre, and ZlP [ode
Ema1l Tde honeNumber E�a��
Under p alties perjwy 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and c pte• qui y:�:�, and is prepared in acco: da�ce v.�th IC 6-11-5.5, "Rea! Proga: ty Sales Disclosure Ad". I
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Agnao�reo(Sel(e Agnatureof5e(la I
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Prin amea Seller ' LNte MOO/ PrintedNameo SeRe St Out¢ NM/DD
F. BUYER S GRANTEE 5=APPLICATION FOR PROPERTY TAX DEDUCTIONS- tDENTIFYALLiTEMS THAT APPLY
Bu}+v 1- Name ¢s appean on canvryanre d«�unent
Buyer2 - Nome as appeors on ronve}vnredxument
Albert Bvms ��P.� � i 3��u�ts S
Addras (i.'wnGe�-ar�d iaeetJ Add� e.s (;'wnf�w' and Strext) I
_5126 S 950 W Owensville Indiana 47665 s��z � S� SOIJI� (, �C�S Ji11.e� �- '7�j
Qry, State andTJP ('nde
Gry, Smt¢ und 9P [ode
E-mat! Tde honeNumber f�Q��
TNE SAL6 DISCLOSURE FORM MAY BE USED TO APPLY FOR CFRTAIN DmULTIONS FOR THIS PROPERTY. IDINIiFY ALL OF THOSH TNAT APPLY.
YES �0 COdDITI04 I y� p�0 CONDITIO:'
� L j 1. Wiil [nis properiy oe [he ouyer's primary � s. Homestead
residence? Provide complete address of primary � � 4, Solar Energy Headng/Cooling System
residence, including county:
gr-.�p �,i( 4�5 S ❑ Q 5. Wind Power Device
Addr¢i(NUmbernn! �r� � �✓ 6. Hydroelectric Power Device
c��eNs�;j� � N c��66S
Gry,SmteLPCode t -❑ Q 7. Geothermal Eneroy N=atlng/Cooling De�dce '
Counry
Q ❑ 2. Does the buyer have a homestead in Indiana to be � �✓J 8• Is tnis property a residentiat rentai propertyi
vapted for this residence? If yes, provide ❑ ✓❑ 9• Would you like to receive tax statements for this
complete address of residence being vara[ed, property via e-mail? (Provide rontact informadon
inclu ding county: 6elow. Pfease see instrucdons for more injormation
ro� 2� S �145(� W Notavailableinal(coundes)
Addr�s(Num6ernnd t) d!�_i�.oZ_ ibo o�l .�9z-oal �
r� w�o-s:-��[Cc ,�N �� 66 S ; bs� � `
AlberiByms Kri�O�/`('NS�C�o�t��I.�Jfr
Ciry.SmteLPlode Counry �
Primary properry oumer conwct�wme E-moil
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is trve, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Pro les Disclosure Act". (Note:
Spouse information, Social Security and Drivers License/Other numbers are not necessa if omes[ead Deduction is
being filed.)
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5/ a r of ]� �)� �� I� Si naar aJBuye�/ pouse� ��
Print IegalNan o/Btryer SignDate(uiv/n0/YYYV� hred a/Name Buyrll/Spouse
SDigitsofSocial5ecuriryNumber Las[SdigiaofBuyer2/SpouseDriver'S Sfnte 1,as[SDigilsof5otialSecuriry
License/ID/OtherNumber Num6er License/!D/OfherNumber