HomeMy WebLinkAboutHomestead_Martin (7)SDFID:
Christa Kinasburv Closina Manaoer
%epareroflhe Sa/a Disclosure Fortn Title
501 Main Street Bosse Title Comoanv
Addr¢t(NumbeandStrett) Compvny
Evansville IN 47708
Ciry, SWt4 andTJPCode ielephone Number E-mail
Sella1l � Name as appeors on canveyunte document
636 W PArk Ave
Addreu (NumberandStreet)
T�1P.fP.Sa iV� F(j[iP.fGOfl
SMfer2 - Name as appe�rs on ronveyonte do[vmen[
samP
Addreu (Numbe� and StreetJ
Prinreton IN 47670
Ciry, Smt4 andZlPCode liry, SWre, and Z/PCode
E-mail TelephaneNUmber E-mail
Under pena 'es of perjury, 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
and co [e as re 'eEd by law, and is prepared in accordance wi/thf IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
SlgnaNreo/Sel I SignoNreoJSeller I ��i
.0 ��-t.� /
TION�FOR PROP.ERTY TAX
Buyer 1- A'ame as appears
Fort
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Buya 2� Name as appwrs on comryanre documm[
Address (Numberand Sh'eet)
City, Smrq and Z/PCade
THE SALFS DISdOSURE FORtl MAY BE USm TO APPLY FOR CFIITAIY UEDURIOYS FOR THIS PROPERTY.
Q � 1. Will this property 6e [he buyer's primary
residente? Provide wmplete address of pri
h�
S--4--
�� ��
Ciry, Smte Z/PCode Counry
� ��Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
induding county:
(Numberand5vee[J
Ciry,SwreZIPCode
Counry
❑� ❑ 3. Homestead
❑ ❑✓
❑ ❑�
❑ �
.�-./� i .
dPPLY.
Heating/Cooling System
S-Ntind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Hearing/Cooling Device
8. Is this property a residential ren[al property?
9. Would you like to reteive tax statemenLS for [his
property via e-mail? (Provide contact informacion
below. Please see instrucdons for more informadon.
Not availa6le in all coundes.)
E-mail
Under penalties of perjury, 1 hereby certify tha[ this Sales Disclosure, [o the bes[ of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spause information, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deduc[ion is
bei9g fi d.) . 1
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Signamreo uy SignaNreofBuyer2/Spouse
Pnn[
LastSdigiGSOfBuyer2/SpouseDnve�'s Smte LastSDigivaf5ocial5ecunty
License/ID/0[herNumber Number License/lD/OtherNumber