HomeMy WebLinkAboutHomestead_Wilson (4)INDL�NASALESDISCLOSUREFOR\I SDFID SDOID 1396378 Page1
D.PREPARER
Bryceann Nichole Cutsinger
Reyarer ofNe Saln D6dosure Form btle
226 W. BroaOway Broadway Ttle, Inc.
AJdrm (Nvmber and SveeO Cumpony
Pnnceton, IN 47670-
Ciry, Slctt, and ZlP Cale Telephone NumDer E-mail
E. SELLER S /GRANTOR S
Lintlsey R. France
Srller ]� Nume as appears an �mrvqvircr d«umrn� Seller2 - Numr as apy�vrs on ronveyume dorumm�
2069 5. 1200 E.
Addreu (Number and SPcet) Addren /NUmber and S:ree�)
Oakland Ciry,IN 47660-
Tele haneNumGrr E�mai!
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
an ompletne as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure AcC.
�1 U�- �
�Signamre Sellm � Slgnamreaf5eller
L� � � R. .� � -Q- (
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F.BUYERS GRANTEES -APPUCATIONFORPROPERTYTAXDEDUCTIONS-1DENTIFYALLITEMSTHATAPPLY
Zeke Corbie VJilson
Buye� 1- A'ame ns oppmrsnn rnnvryvnre Coa�ment Buyer? � Name us apAmrs on ronveynnte dxummo
211 Dale Streef
ddJrea' (Number and ShertJ A�dress (NumArr and Strert/
OaklarW Ciry, IN 47660-
-mail Te/r oneNwnbr� E�mail
THE SALES DISCLOSURE FORA1 MAY BE USED TO APPLY FOR CERTAIN DEDUCI'IONS FOR THIS PROPERTV. IUENTIFY ALL OF THOSE THAT APPLY.
YES YO COVDITION T l� ITI ,
x❑ ❑ 1. Will chis properry be the buyer's primary Qx � 3. Homes[ead
residence? Providemmpleteaddresso(primary . ar nergyHeating/CoolingSystem
residence, including county: ❑ �
2069 S. 7200 E. 5. Wind Power Device
Addres[HUmberand5vert) ❑ Q 6. Hydroelectric Power Device
Oakland Ciry, IN a7660 GIeSON � � 7. Geothermal Enerpy Heatino/Cooling Device
pry. Smce ZIP CoOe Counry
❑€] 2. Does the buyer have a homestead in Indiana [o be � � 8. Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q y� �Vould you like to receive tax s[atemena for this
complete address o( residence 6eing vaca[ed, property via e-mail? (Provide conmct informotion
induding counry: below. Please see instructions%r more in�ormanon.
Not availa6le in a(I counties.)
Add��ss(NUmbaandSVreQ a� 14�IS-3�D �°Sa�-�6
Ciry, SmceZfPCode Caunry
Pnmary pmprrry ownercor.mrt nume !'-mail
Under penalties of perjury, 1 hereby tertify that [his Sales Disclosure, to the bes[ ofmy knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6d.1-5.5, "Real Propert}� Sales Disclosure AcC. (Note:
Spouse information, Social Security and Driver's License/Other numbers am not necessary if no Homestead Deducrion is
b 'ng filed.)
Sigmmrt ofBuyerl Signcmre n/Rvyer?/Spoase
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BuyerlDriver's 5[a.e LastSDigicsof5acial5ecuriryNumber LastSdigieso�Buyer?/SpouseUriveri Sm[e CastSD(giao(SociclS=cunry
Lirense/ID/O[herNumber Number litense/ID/O[herNUmber