HomeMy WebLinkAboutHomestead_GarciaItiD1ANAS�LESDISCLOSUREFORJI SDFID SDOID 7395898 page2
D.PREPARER � � � � -
Samanlha Cutsinger
Reyarcr o(Ne $ala DBClosv�e Form Title
226 W. Broadway Broatlway Title. Inc.
AAJrese /Num6eru�M SveetJ Compony
Princeton, IN 4767P
E.SELLER S /GRANTOR S
Michael P LemonU DeDDie A Lemond
Teller 1� Nvme orvppevrs on mmqm�r Jorumem Srller 2� Nume os uFpvrson �vnvewnm dorvmrn!
7521 E CR 250 W 7521 E CR 250 W
Address (NUmber and SRaQ Addrtn (NUmber ond5aea)
Winslow, IN 47598- Winslow, IN 47598-
Ciry,
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Under penalties of perjury, I hereby cerrify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and� plet-�d b a�a, and i�prepared in accordance wi[h IC 6-11-5.5, °Real pAoperty Sales Disclosure Ac[".
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F.BUYERS GRANTEES -APPLICATIONFORPROPERTYTrUCDEDUCTIONS-IDENTIFYALLITEMSTHATAPPCY
Claudia Garcia
Bu��er 1� Name ns opp..nrs an ronveyon[t dommen: Buyer? � Name as apprors an :nnveyanre dotummt
675 Giesler Rtl.
Addrest(A'urr.berondSVer[J Addras (Numbei and5treet)
Jasper,IN a7546-
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TNESALESDISCLOSUREFOR.NMAYBEUSEDTOAPPLYF00.CERTAI.YDEDURIONSPORTHISPROPERTY. NTIFI'ALLOFTHOSETHATAPPLY.
VES NO COVDITION NO COKUITION
Q � 1. Will this property be the buyer's primary Qx ❑ 3. Homestead
residence? Provide mmplete address of primary 4. Solar Gnergy I�leating/Cooling System
residence,includingcounty: � �
3a2 JACKSON ST. 5. 4Vind Power Device
Addrtss(Num6erandStreetJ ❑ Q 6. Hydroelectric Power Device
Oakiantl Ciry, w a7ss0 GIBSON � � 7, Geothermal F,nergy Heating/Cooling Device
Ciry, Smu ZIPCode Caunry
�� 2. Does [he buyer have a homescead in Indiana ro be � 0 8. Is [his property a residential rental proper[y?
vacated�for this residence? If yes, provide ❑ Q 9. 6Vould you like ro receive tax sratemen[s for [his
complete address of residence being vaca[ed, property via e-mail? (Provide rontacf tnformation
including rounty: below. P(eose see instructions%r mare in%rmatlon.
M1bt availab(e in all counties.J
Addrets(Nvm6erar.d5vect) a ' i ( � /�� —/'�/-�6 'O�� / b
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Ciry, SmceZl°Code Counrv
Nimary pmperry o�mer mrmct nome E�mail
Under penaltles of perjury, I hereby cer[ify that this Sales Disclosure, [o the best o(my knowledge and belief, is true, correct
and comple[e as required by laµ•, and is prepared in acwrdance with IC 6-11-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse informadon, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deducrion is
being filed.)
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