HomeMy WebLinkAboutHomestead_Bane (2)' 1\DIA\ASALESDISCLOSUREFOR�I $DFID SDOID 1383583 Page?
D.PREPARER
Shecari Southwell Morigage Loan Offcer
Preparer o(NrSafa Disrlosure form 7irfe
4401 Theater Drive Evansville Teachers FCU
Address(NumbelandSUeet) Comyany
Evansville, IN 47715-
E. SELLER S GRANTOR S�. � ' � '
Bradley D. Bane
Sellzr 1� Name ¢s apyears on conveynnce do[ummt Sel/u d� Nnnie as appears on canve�vnte Autumenr
PO Box 1112
Address(NUm6erandSUttQ Addras(SumberandSaeer)
Princeton, IN 47670.
Ciry, Smte, andZlP [ode Ciry, Sm�e, and ZIP lode
E-moil Tele honeKumber E-moil
Under penal[ies of perjury, 1 hereby cer[ify [hat [his Sales Disclosure, [o_ the best oF my knowledge and belief, is true, correct
a omplete as r\equ�� by Ilaw, and is prepared in accordance with IC 6-1.1•5.5,�"Real Property Sales Disclosure Act".
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SlgnoNrea(Sell S(pnamreo/Seller
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F.BUYERS GRANTEES -APPLICATION'FORPROPERTYTA}IDEDUCTIONS-IDGNTIFYALWTEMSTHATAPPLY
Brooke N. Bane
Bu• ursonronvryancedocument tluyerl�NameasavP�rsanrnnveyunredacumen�
2383 N. Benchmark Dr.
Addrvss (NUm6erondS�rtttJ Addres (A'um6er rsndSVeet)
Princeton, IN 47670-
Ciry, Smle. ond ZIPCOde Ciry. State, orrd ZIPCOde
Email iele honeNumber 6mail
THE SALFS DISCIASURE FORM MAY BE USED TO APPLY FON CERTAIN DEDUCTIONS FOR TNIS P0.0PERTY. IDEM'IFV ALL OF TNOSE THAT APPLY.
YES NO CONDITION YES ION
X❑ ❑ 1. 6Vi11 [his property be the buyer's primary x 3. Homes
residence? Provide complete address oFprimary � � 4. Solar Gnergy fleating/Cooling Sys[em
residence,includingcounty: � �
2383 N. BENCHMARK OR. S. Wind Power Device
Addre.�z(NumberandR�xO ❑ Q 6. flydroelec[ric Power Device
Princeton, IN 47670 GIBSON
Ciry,SmieZlPCOde �a��9, ❑ � 7. Geothermal Energy Heating/Cooling Device
�,� 2. Does the buyer have a homestead in Indiana to be � � 8. Is this property a residential rental property?
vacared for this residence? If yes, provide ❑ Q 9� Would you like to receive tax statements for this
complete address of residence being vacated, properry via e-mail? (Provide contact in�ormotion
induding counry: belmv. Please see instructions for more information.
No! availnble in all counties.J
Address (A'um6er nnd Streef)
a�a-as-31-/0�-00�.003-oz�
Ciry, Smte 21P Cade Counry
Pnmaryproperryownerronmv[name E-mail
Under penal[ies of perjury, 1 hereby certify Iha[ [his Sales Disdosure, to [he best of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Drivers License/O[her num6ers are no[ necessary if no Homestead Deduttion is
bein iledJ
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Si aNre Bvyerl Signatureo(Buye�1/Spouu
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RinlMfegalNemeo/Byerl signnnrepiu�onMr�1 P������Q9nlNameo(Buyer2/Spouse SignOnre�uk/IM/Y1'rvJ
Sa�ial5ecuriryA'um6er LastSdigirso�Buyer2/SpouseDricer's Stnte LostSDigltco(SocialSenviry
Lit'ense/ID/Od�erNum6er Num6er License/lD/OtherNum6er