HomeMy WebLinkAboutHomestead_Martin (6)FORM
CHRISTINA LATHAM TITLE CIERK �
ReparelofNeSalaDisdnsureForm Tirle �
4703 THEATER DRIVE REGIONAL LAND '
Addrm (Number and So-eet)
NA
Ciry, SmtG and ZIPCode Telephone Number E-mail
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CHFI I FV fl MARTIN
Seller 1- Name as anoears on convevance document
Streef)
ZIPCode '
N ��
Selle� I- Name as appwrs an ronvryance docvment
Addras(NumberandStreet)
liry, SrnrG and LPCode
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and �omplete as required by law, and is prepared in accordance with IC 64.1-S.S, "Real Property Sales Disdosure Act".
o/Sel/er
PRINCETON IN 47670
Ci.y. Smtq andTlPCode
— / /_� / N
s��am.ee�sene�
Buver 2- Name os appmrs om m�vevanre documm[
(NUmbe�and5treetJ
Liry, Smtg ond Z1P Lade
TNE S1LF5 DISCLOSURE FORM hL1Y BE USED TO APPLI' FOR CERTAIN UEDUCf10Y5 FOR THIS PROPEHTY. IDENTIFY ALL OF TNOSE THAT APPLY.
Q � 1. Will [his propercy be [he buyer's primary
residence? Provide complete address of �
residence, including county:
one cni i7H ROBIN ST
Address (Numbv and Svee[J
PRINCETON IN 47670 GIBSON
Ciry, SmreTIP Code lounry
� �✓ 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
Addren (h'umber ond StreeQ
[iry, Smte LP
Caunry
�
�
�
�
� 3. Homes[ead
Heating/Cooling System
S. Wind Power Device
6. Hydroeleciric Power Device
7. Geo[hermal Energy Heating/Cooling Device
8. Is this proper[y a residential rental property?
m 9. Would you like to receive tax statements for this
T property via e-mail? (Provide contact informadon
6elow. Please see insp-uctions for more information.
Nat available in all counties.)
o�o -/� /J"-/oo?- ODo . �//-Oo?
STEVEN R MARTIN n/��
Primerv uraoem owner conma[ name E-mail
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, corred
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse infur tion, So al Sec rity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
beingfil�i �- �_����.
S{gnaNreo%Buyerl / �/
CT�\/FAI R �.1ARTIAI j�����'��
PrintedLegalNameofBvyel � 5(ynDO[¢�MH/OD/YYYY)
LastSdigitso%BuyerlDmer's Smre Last50igirsofSocialSecuriNNumber
Liceue/!D/Other Num6er
5(gnomre o(BUVer2/Spouse
Pnn[edLegalNameo(Buyrl2/Spause SjgnDare(HM/DU/YYY17
LastSdigi[sofBuyer2/SpouseDnver's Srate Last50igiaofSocialSecunty
Number License/ID/OtherNum6er