HomeMy WebLinkAboutHomestead_HensleyI�DL�N.ISALFSDISCLOSUREFOR\f SDFID SDOID 1388000 .• Pagc2
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Kimbedy A. Lewis Office Manager
Pnporz�o(Ne5ofu0isclosureForm 77tle
226 W. Bro2dway Bmadway Title, Ina ___
Addres (NUmbe� and S[ree�J Company
Princeton, IN 47670-
Ciry, Smtq and ZfPCode 7elephone Rumber E-mall
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Beatrice Ferguson
Seller 1- A'ame as vopeors on wrtveyvnce dorument SelferZ - Narne os vppeurr on mmy'an�e doavment
925 West Dr.
Addrea (Nv .r.berand StreetJ Mdrtu (Numberand5✓eec)
Oakland Ciry, IN 47660-
City.Sma, andLPlode Ciryt SW re. and ]JPCode
Tel¢ haneNUm6er E-ma Tele haneNwn6er E-mnll
Under penalties of perjury, t hereby certify tha[ this Sales Disclosure, [o the best o(my knowledge and belief, is We, wrrect
an%d� comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5. "Real Proper[y Sales Distlosure Act".
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Sgnamreoj5¢Oer Signamreo(Shcer
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: F.�.BUYER S GRANTEE S.=ABPLICATION FOR PROPERT.Y TAX DEDUCTION$-.IDENTIFY A�L ITEMS'THAT APPhY.' -� -
Alec N. Hensley Julie A. Hensley
Buyrr 1� Name as oppevrs nm m�veyunre document Buyer Z� Name as appmrs um m�veyance dxumen[
179 N. Second Ave. 119 N. Sewnd Ave.
Address (NUm6erand Sueer) Address (A'um6eranJ S[reeQ
Oakland City, IN 47660- Oakland City, IN 47660-
Ciry, Smh, and LPCadt Ciry, Srnte, and ZI➢COde
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Tele honc::umber Email Tefe IroneNUm6cr T�mafl
THE 5.1LE5 OISCLOSIIAE FORM �IA1' BE USED TO APPL1' FOH CERTAIY DEDURIOYS FOA TNIS PROPERTV. IDEhTIFY ALL OF THOSE THAT APPLY.
1'FS NO [O\DITION I YES NO CONDITION
X� � 1. Will this properry be the buyer's primary Q � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county: � �
925 WES7 OR. 5. lNind Power Device
ACdress(h'umbumd5bre.) ❑ Q 6. Hydroelectric Power Device
Oakland City. IN a7660 GIBSON � a 7. Geothermal Energy Heating/Cooling Device
[iry.Sm�ezlP[ode Counry
�� 2. Does the buyer have a homestead in Indiana to be � 0 8� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. Would you like to receive tax statements for [his
mmplete address of residence being vacated, property via e-mail? (Provide contoct informotion
i luding counry: befow. Please see instrucdons for more in�ormatiqn.
' — Not avuila6le in all counties.) ��
ddress/A'•mbe�an veet) ^v
Ciry.Sta�ZIPCOCe ^D County\ �'�'J�'/�_���� O�� V1
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and 6elief, is true, correct
and complete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disdosure Act". (NO[e:
Spous " mati cial Seeiirity and Driver's License/O[her numbers are not necessary if�no Homes[ead Deduc[ion is
bein .) /
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