HomeMy WebLinkAboutHomestead_Price (2)I\DIA\ASAI.ESDISCLOSUREFORJI SDFID SDOID 1388052 ° Psee2
D.PRHPARGR
Samantha Cutsinger
Reyarer of [he Sc/es Oudosure Ponn Title
226 W. Broadway Broatlway Title, Inc.
AdArrn (Xum6er and5fieetj Company
Princeton, IN 47670.
E.SELLER S GRANTOR S
Steven A Kimmet Bevery A fGmmel
Srl/er t- h'ome aa appears om m�vrynn�e Jocument Selln�d � Nvme os uppevrsw renvrvunm da umen�
9058 S 1075 W 9058 S 1075 W
Addrexs(NumberondSVreQ ACdros(NUmboand5aeet�
O.vensville, . IN 47665- Owensville, IN 47665
Emuil Tele oneNnmber E�mai!
Under penalties of perjury, l hereby certify [ha[ this Sales Disclosure, to the best of my knowledge and belie(, is true, correct
and lete as r�uired b law, and i repared in accordance wit C 6d.1-S.S, "Real Property Sales Disclosnre
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F. BUYER S,GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS�THATAPPLY
Matihew J Price Sara J Price
B�9�rr 1� n'ame ns oppears nn ronveyance davment euyer 2� Name as appeors an ronveyanae dxummt
10868 E 700 RD 10868 E 700 RD
Address (h'um6n anJStrxt/ ddEr¢s �NUm6er ondSVeet)
Mt. Carmel, IL 62863 ML Carmel, IL 62863
Ciry.
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THE SALES DISCLOSURE i0Rl1 MAV BE USED TO APPLY FOH CERTAIN DEDURIONS FOP THIS PROPERTV. IDEhTIF1' ALL OF THOSE THAT APPLT'.
YES NO WNOITION YES NO CONUITION
Q � 1. 4Vi11 chis properry be the buyer's primary Q ❑ 3. Homestead
residence? Provide mmplete address of primary � � 4, Solar Cnergy Heating/Cooling System
residence, including county: � �
9058 5 �075 w 5. Wind Power Device
Mdress/NumberanCSnee[) ❑ Q 6. Hydraelectric Power Device
Owensville, IN 47665 GIBSON � � 7. Geuthermal F.nergy Heating/Cooling Device
Ciry. Smu ZIP CaCe Counry
�� 2. Does the 6uyer have a homestead in Indiana m be � � $� Is this proper[y a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. �Vould you like to receive cax sWtemencs for this
complete address of residence being vacated, property via e-mail? (Provide contnct in/'ormotion
induding rounty: below. Pleose see instrucpons%r more in%rmation.
Not available in afl counties.)
Add�¢s (A'umber an.dSVer�)
al -/7- Z 9-yDo ocY, ao a-oa I
Ciry.StareZIPCOAe Counry P
NimaryP�C�'rry owna rontaat nume E-mail
Under penaltles of perjury, I hereby certify that this Sales Disclosure, to [he best of my knowledge and belie(, is true, correc[
anA complete as reyuired by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure AcC. (Note:
Spouse informa[ion, Social Security a d Driver's License/O[her numbers are not necessary if no Homes[ead Deduction is
being filed.)A�! � "�
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PnnrcdLe,qolNomeuf8uyer] $gnDa:[�HY./00/YY1'Y� PnntMLegalNameofBu)'er7/Spause SignOtrte�M.N/OD/rYi'Y�
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Las[SdigivajBuyer]Oriver's Sla[e LastSDigifso(SocialSecuriryNumber LastSdigirso�Buyer2/SpouseDnver's Smte LastSDigi[so�5oda15erunty
Lirense/ID/O[herNumber Num6er License/ID/OrherNUmber
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