HomeMy WebLinkAboutHomestead_Montgomery (4)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D. PREPARERc's: . "": •'. r t' " , ,°,:_`c -.t. _ ,,r�, . __,, _ _ _- € ' - - cy =
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SHERIL.GREENE
Preporer of the Sales D'udosvre Form Title '
7122 E OHIO ST
Address (Num6er and Sveet) Company
PRINCETON IN 47670
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E. SELLER S GRriNTOR S ;_ � ' - ' � ' • . ,
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CARn F MnNT(;OMFRV HFNRV .I RRnWN
Seller 7� Name as appears on ronveyonre documen[ Seller 2- Name os appears on ronveyance documen[
ARAS F 550 S A8A5 E 550 R
Address (Number ond Sveet) Address (Number ond So-eet)
OAKf AND (:ITY IN 47fi60 OAKLAND CITY IN 47660
Ciry.Srute, and ZlP Code Ciry, Stare, ond ZIP Code
E-mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
an�e as required by law, and is prepared in accordance w' I��S, "Real P p3��s Disclosure Act".
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Signamre of5eller Signamre o(Sell
HENRY J BROWN by CAROL MONTGOMERY 12/ %�/ 02 12
Pnn ameo Selier Si nDate HM O Pdn[edNameo Seller Si nDatt MM D
F UYER S GRANTEE S'-�APPLICATION FOR'PROP.ERTY..TAX'D - 1GITEMSTHATAPPLY'
F. M NT NNIFER D K
Buyer]�Nameasappea conveyancedocument er2-Nameaso mnveyanredocumen[
S 304 N MAIN ST
Address (A'umber and StreeQ Address (Number ond Strrec)
OAKLAND CITY IN 47660 FT BRANCH IN 47648
E�mail
THESALESUISCLOSUREFORp1MAYBEUSEDTOAPPLYFORCERTAI�DEDUCf10`1SFORT RTY.IDEYTIFY OSETHATAPPLY.
YES NO COYDITION YES NO COYDITION
� ❑ 1. Will this property be the buyer's prim ❑./ ❑ 3. Homestead
residence? Provide complete address of primary , eatlng/Cooling System
residence,including county:
�n4 N MAIN ST (J NNIF R. ARK:c RFCIDENCE) � � 5. Wind Power Device
Address(Numberond5veetJ � � 6. Hydroelectric Power Device
Ff BRANCH IN 47648 GIBSON � Q 7, Geo[hermal Energy Heating/Cooling Device
Ciry, Sruce ZIP Code Caunry
❑ � 2. Does the buyer have a homestead in Indiana to be � � 8. Is this property a residential rental property?
vaca[ed for this residence? If yes, provide ❑ 0 9. Would you like to receive ta�c statements for this
complete address of residence being vacated, property via e-mail? (Provide contoct information
including county: 6elow. Please see instrucdons far more information.
Not availa6le in all counties.)
Address(Numberand5veetJ M� / � � � � /
ai �-( 5�'/,9''S�O G� �,u c� v
City. Smte ZIP Code Counry
Pnmaryproperty awner ronmct name E-mall
Under penalties of perjury, 1 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 IC 6-1.1-5.5, "Real Proper[y Sales Disclosure AcY'. (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
b/e}/�g filed.]1 �
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SignawreofBUyeri Si a reo/Buyer2/Spouse
rnoni r nnnniTr_nnnGOV �'Z/��/�nii /
Pnnred Legal Name oJBu}rer ] Sign Dare (HM/DD/VYYY7 Pn'nred Legal Name o(Bvyer 2/Syouse Sign Dare (HM/DD/YYYF�
xxxxx�oocx xx xxx�000cxxxux �- � �N
LastSdigi[sofBuyer]Dnver's Smte LastSDigi[sofSocial5ecunryNumber LastSdigiGSOfBuyerl/SpouseDnver's Sta[e Last50igirso%Social5ecuriry
License/lD/OtherNum6er Num6er License/ID/O[herNumber