HomeMy WebLinkAboutHomestead_Monday[NDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1387442 Page 2
D.PR�PARGR
Samantha Cutsinger
Prepnre.r o%d�e Sales Disdosure Form T���
226 W. Broadway Broadway Title Inc.
Arldress (NwnLer nnd Street)
E. SELLER(S)/GRANTOR(S)
Jerome Elpers
Sellr,r ]- Nume as appeurs o�� cortveyance documem
5024 SR 68
Address (Number and Streef)
Glenda Elpers
Seller' Z- Name u.s appear�s on comeyonce document
5024 SR 68
Address (Number onASaeet)
Haubstadt, IN 47639- Haubstadt, IN 47639-
City, .titate, arrd7,lP Code C.iry, Sfn4c, nnd 7,1P Code
E•mnil
Under penalties of perjury, [ hereby certify that this Sales Disclosure, to the best of my knowiedge and belief, is true, correct
an� complete as rec�uired by law, and is prepared in accordance with IC,,6-1.1-5.5, "Real Property Sales Disclosure Act".
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Si,qnature of.Seller � �� Si�aO�re of Seller ! l
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F. BUYER(S)/G �RANTEE(S) - APPLICAT[ON FOR PROPERTY TAX DEDUCTIONS- [DENTIFY ALL ITEMS THAT APPLY
conveyance dnrument
137 N. Brown St.
Address (Num6er nnd .StreeCJ
Princeton, IN 47670-
Cig�. Stnte, and "l(Y Code
812-000-0000
'P�lenhoi�e Nurnbe.r
Buyer 2- Name as nppeors on conveynnce document
Address (Number and Sn�eet)
Ciry, state, ona %IP Code
E-mai! 'PelephoneNurnher_
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONUI'I�IUN
x0 � 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
137 N. BROWN ST.
Address (Number and Streec)
Princeton, IN 47670
City, State Z!V Code
GIBSON
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:
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CONDiTION
3. Homestea�
4. Solar Gnergy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. ls this property a residential rental property?
9. Would you like to receive tax statements for this
property via e-mail? (Provide contac[ information
below. Please see instructions for more information.
Addre.rs (Nwnher nnd 5[reet) p
„ �Z O3 - ��/• 9.$ B-O �O
Ci Stnte'LIPCa�e C unry � ^
ty' Prima yPropertyownercontactname E'- r�
Under penalties of perjury, [ 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 1C 6•1.1-5.5, "Real Property Sales Disclosure Act". [Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
beingfiled.)
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.Agn veofRuyer] ( Signa[ureo%Auyer2/Spouse
e ' 6 — l`7 I �
Last 5 drgi[s ojBuyer 1 Driver's State Lnst .5 Digits ojSocial Securiry Number La.rt 5 digits of Buyer 2/Spouse Driver's Sta[e La.rt 5 Dlgits of Social Security
Lrcense/fD/OCherNumber Number License/ID/OtherNwnber