HomeMy WebLinkAboutHomestead_Hale (4)1\DUNA SdLES DISCLOSURE FOR�I SDF ID SDO ID 1396944 Page 2
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Holly Perkins Cisaer
A'eparero%lhe5alaD&dosvreFonn T9tle
7202 N Shadeland Avenue Hocker & Associates
Address (NUmber and Sneet) Compan��
Indianapolis, IN 46250-
;E: $E�f:ER $ GRANTOR S XF� _'�.z�s�`-�:;: �-.s-.3-�:'-`.�3"J _�—�T,.'=r�s� sr�"`tc,�';. �� `i_.,'�.''� .r-.>v� t ����� �,.r .0 �;':
The Seaetary of HUD
Sellerl-Nameasaypearswronve�nntedocument � Seller2-A'amearappearsomm�vrynncedrcument
40 Marietia Streel
Addres (NUmMorMSbeet) Addrzss (h'umber and5lra[)
Atlanta, GA 30303-
Eiry. Sm:q and Z/ACade Ciry. Smu. and ZI➢Code
E-mo0 Te(e haneNVmber E-mall
U��� r p�naltles o pe� ury, I hereby certlfy that this Sales Disclosure, to the best o(my knowledge and belief, is true, correct
a;� o� le[e as r ui ed by law, and is rg a•���ance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
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'g mreo/ _ `' � Signamreo(Seller
��F:BUYERS RA�TE '�APPCICATIONiFOR%PROBERTY.TAX�DEDUCTIONS::IDENTIF,1'rALL°ITEMS�•�THATAPPLY�:;'+ �- "���' �
Michael Hale
BuYer1-Namema0 nmmryanceduvment 8vyer2-Nameasapyearsantonveyonredorumen[
e Avenue
Address(Num6erandStreeQ AdEress(NUmberond54ee1�
Princeton, IN 47674
City. Smce, and Z!V [ode Ciry. Sm[e. andllP Code
E-muil ee IroneNUmber E�mail
THESA6FSDISCL0.SUREFORMMAYBEUSEUTOAPPLYFORCERTAINDEDUCf SFORTHISPROPEATY. IOENTIFYALLOFTfI�<[HATAPPLY.
YES KO CANDITIOV YES NO CONDITION
x� ❑ 1. Will this property be the buyer's primary � Qx ❑ 3. Homes[ead
residence? Provide complete address of pri � � Q 4. Solar Energy Heatlng/Cooling System
residence, including county: 5. Wind Power Device
505 BROWNIEE AVENUE \❑��-
Addrrs(9umbrrand5tmt) ❑ Q 6. Hydroelectric Power Device
Princeron, IN 47670 GIBSON � � 7, Geothermal Energy Heating/Cooling Device
C1ry; Smre Z17COde lounn
�� 2. Does the buyer have a homestead in Indiana to be � � 8. Is this property a residential rental property?
vacated for this residence? !f yes, provide U � 9• Would you like to receive [ax statements for this
romplete address of residence being vacated, property via e-mail? (Provide contoct informotlon
induding counry: below. Please see�instruttions for mare rn%rmation.
Not avai(able in o(1 counties.)
Addnm (Num6er and SlreeQ
�� /�-07-/0%0�3 oo3-�a�
Ciry.SmtrZlPfode Counry
Pnmeryproperryownerm^mctnome E�moil
Under penalcies of perjury, l hereby certify that this Sales Disclosure, to the best o(my knowledge and belie(, is we, correct
and complete as required by law, and is prepared in accordance wi[h IC 6d.1•5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informatlon, Social ecurity and Driver's License/O[her numbers are no[ necessary if no Homestead Deducdon is
bei file .) ��
gnopveofBuyeA Sigmmreo(Buyeri/Spouse
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