HomeMy WebLinkAboutHomestead_StaggsOki
parer o) the Sales Disclosure form Lae A
James G McDonald, III Attorney at Law
Address(Nvmberand Street) Company t ai
120 S Main McDona.ld Law Firm
City, State, and ZIPCode Telephone Number E -mail
Princeton, IN 47670 (
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E °SEL'•L'ER S ` GRANTORS °5•'sc' ofd- ','�- 5. =- `s.,= .l�'f"ar`.���.�= <:t*; �-s»,,. .. � • -°
Estate of Rickey C. Staggs
Seller] Name as appear; on conveyance document
Seller 2 -Name as appears on conveyance document
751 N Lankford ScYocl Road
Address (Number and Street)
TacwPll, IN 47175
Address (Number and Street)
Ciry, Stat4 and ZIP Code
Ciry• State, and ZIP Code
Telephone Number E -mail
Tale hone Number Email
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co plete as required aw, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Ac[ ".
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S; ^va / r a 9 Signature o /Seller
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Printed Nameo Sdf Sign Date (M.411)
�] ❑ 1. Will this property be the buyer's primary
❑ 3. Homestead
residence? Provide complete address of primary
❑ ® 4. Solar Energy Heating /Cooling System
re idence, including c unty:
S _
❑ S. Wind Power Device
❑ [N 6. Hydroelectric Power Device
aJ(ajess(n'a anestreaq
elpk15D,
/
f 77iUD5 T74 -1�Y 47%�J� o
❑ ® 7. Geothermal Energy Heating /Cooling Device
E] ® 8. Is this property a residential rental property?
City, State ZIPCode / County
F1 ® 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ ® 9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
Nat available i all counties.)
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Address (Number and Street)
City, State ZIP Code Counry
Primary properry owner conmc[ name E -mail
Number License /ID /Other Number