HomeMy WebLinkAboutHomestead_PotterI�DIA�ASAI.F.SDISCLOSUREFOR�t SDFID SDOID 1758110 pyge7
D.PREPARER
Samaniha Cutsirger
Reyoru of the Sales Oiulosure Form T�tle
226 W. Broativray Broatlway Title. Inc.
Addrrss (NumGer onASVeeQ Company
Princeton, IN 47670-
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E. SELLER S GRANTOR S
Mark A Neal
Srller ]� Name as appears on ounveyvnre J«umem Sr/(rr2 � Nume oi uppevn om m�vryun�e davmenl
922 S 1225 E
Rddrtss (NUmber and Svra) Addna (Numbrr and SvaetJ
Oakland Cily, IN 47660.
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Under penal[ies o(perjury, 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
and co plere as required by law, and is prepared in accordance with IC 6-i.i-S.S, "Real Property Sales Disclosure Act".
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F.BUYERS GRANTEES -APPLICATIONFORPROPERTYTellCDEDUCTIONS-JDENTIFYALLITEMSTHATAPPLY��
Allen 5 Potter Jeannine E Potter
uJrr 1� h'ame as appears on ronveyanre davment Buyer I� Nome as npprors an ronveynnre daument
70562 5 Co. Rd. 350 E 70562 5 Co. Rd. 350 E
Addres(Num6e�mJ5veetJ Addras(Numberand5tree�)
S�endal, IN 47585- Stentlal, IN 47585-
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THE SALFS DISCLOSURE FORM MAY BE USEO TO APPLY i0R CERTAIY �EDIIRIONS FOR TNIS PROPERTY. IDEKfIF1' AlL Of THOSE THAT APPLY'.
VES YO COYDITION 5FS NO WNUITION
Q ❑ 1. Will [his properry be the buyer's primary x � 3. Homestea
residence? Provide complete address of primary � Q 4. Solar Hnergy Neating/Cooling System
residence, including county: ❑ �
922 S 1225 EA57 � 5. 4Vind Power Device
AAdress(NumMrcndSlrttr) ❑ Q 6. HydroelecVic Po�ver Device
Oakland Ciry, IN 47660 GIBSON � � 7, Geothermal Energy Heating/Cooling Device
Ciry•. Sma21PCaCe Counry
� �?. Does the buyer have a homestead in Indiana to be ❑ � g� Is this properry a residential renial property?
vacated for this residence? If yes, provide ❑ � y� ��'ould you like to receive tax statements for this
romplete address of residence being vacated, property via e-mail? (Provide contnct information
includi cou below.Pleaseseeinstrucpons%rmorein�ormation.
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Under penalties of perjury, 1 hereby certify tha[ this Sales Disclosure, to the bes[ o( my knoH•ledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure AcC. (Note:
Spouse information, Social Security and D�iver's License/Other numbers are not necessary if no Ho�estead Deductlon is
being filed J ' �
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