HomeMy WebLinkAboutHomestead_BurstIYDU\ASALESDISCLOSUREFOR�I SDFID SDOID 7094458 �� Page2
D�:FREPARER �` � _ �_�: . * � �- -F_� _ . ,� ..-r— ; a{ ,� �� �i , �� , 3_ �"4 3;:'=
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KimbeAy A. Lewis Office Manager
Prtyurt�o(theSalaDiubsumFarm TUe
226 W. Broadway Broadway Title, Inc.
Addres (Numberand5lree[J Lompony
Princeton, IN 47670-
>E:.SEL'LER $ � GRt1NT0R $ f S `'.�.f,`,_.'��4-�ivy�.'?%�� y�,.. .���. tiv�:bt" `i'-�� .. ���+.S:i2i�.. �'FSVTG^�r�?'tr.. �.:,',.i� t�. 3.�°?':a"��.1_ �Z 1; '. ,°.y;.��
MarkA. Robb Leeana Robb
Seller7 � Name m eppevrs on corrvqvnre Jm'ument Seller2 � Nome as appmrs on mmiyunce Jocumm[
659 S. Poplar Dr. 659 S. Poplar Dr.
AdErqY(Numberand5aee[) AEdrm(NumberandSdertJ
Princetan, IN 47670. Princeton, IN 47670.
Ciry, Smte. andZlPCode Ciry, Smtq and ZIPCode ,�/n
E-ma17 Tele haneNUmber E-moll
Under penaltles of perjury, I hereby certify [ha[ this Sales Disclosure, [o [he bes[ of my knowledge and belief, is [rue, wrrect
and complete as required by law, and s prepared in accordance wi[h IC 6-1. -5.5, "Real Prop rty I s Disclosure Act".
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F. BUYER S'.GRANTEE S?n`AP,PL'[CATION'EOR�PROPERTY;TAXbEDUGTIONS=:IDENTIF.Y.AL•li ITEMSTHAT.APPL'Y, � -
Darten R. Burst Tanna J. Buret
Buyrl 1� Nome as appevrs m mnve�vnce documen� Buyer 2� A'amc as appmrs om m�vrym[e docummt
909 S. Adams St. 909 S. Adams St.
Addrm' (Number andStrrrt) Addrus (Num6er ond Strze�)
Princeton, IN 47670- Princeton, IN 47670-
Ciry.Smre.andZlPCode —
E�mall
THE SALES OISCLOSIIRE FORM hfAV 6E USED TO APPLY i0A CERTAfN OEDURIONS FOR THIS PROPERTV. IDEhTIFY ALL OF THOSE THAT APPLY.
1'FS NO CONUITION YES NO CONDITIOY
XQ ❑ 1. Wi(1 this property be the buyer's primary ❑X ❑ 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence,includingcounty: � �
737 W. POPLP.R AVE. S. Wind Power Device
Addres(h'umberaMS�er:J ❑ Q 6. Hydroelectric Power Device
Pdnceron, IN a7670 GIBSON � � y, Geothermal Energy Hearing/Cooling Device
Ciry, Smte ZfPCOCe Caunry
[�C � 2. Does Ihe buyer have a homestead in Indiana to be � 0 8. Is this property a residential rental proper[y?
vacated for [his residence? If yes, provide ❑ � 9� WoWd you like to receive tax statements for this
mmplete address oFresidence heing vacated, property via e-mail? (Provide rontact information
in u m coun : �, below. Please see instrucdons for more information.
5 �.� '�'�� Not available in ull counties.)
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Pdmeryyroyutymvnermnmrtname E�muil
Under penaltles of perjury, 1 hereby certify [ha[ this Sales Disclosure, to the bes[ of my knowledge and belief, is we, correc[
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Att". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are no[ necessary if�no Homestead Deduction is
being fil
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