HomeMy WebLinkAboutHomestead_West (4) INDIANA SALES DISCLOSURE FORM SDF ID:, Page 2
D.PREP.ARER . _. -- • - _ - _ -- _ _
Jamie Smith Closinc Services
Picxrc.y the Sekr Dneiasare Form ride
7820 Eaole Crest Blvd Ste 201 Reo'lonal The Services,LIG
.4idress North':eve Street) Company
Evansville IN 47715 _.-___ 812-7535555 iamie.perriereoionaliitlellccom
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F_SELI.F:R(SI;GP.ANTOR(S) - _ _- _ __ . . -
am „ -ti JPMorgan Chase Bank NA
see-I-Earlees a parry en ronrcyance document Sd:er;-name as opoca an conveyance doamer..
14110 Fast Nu rcnrt f nnteffl_*V.=_.__
Addrr-,(Num&rr and Sunr.) A0.'re_fNambr and Stated
r(aat5reirr Reach el 3'.42_
Under penalties f perjury.I hereby certify that this Sales Disclosure,to the best of my knowledge and belief•is true,correct
and complete*' eq iced by law,and is prepared in accordance with IC 6-1.1-5.5."Real Property Sales Disclosure Act". '
x 1 1/
Sipnarure q/S.Ri.�- -— Signatory of Seller -
7dcia Fnkles y t//r Pre Mien' 01/(130014
Printed Nome s Searr l Sea Date'Oirfee .llll t Pnn:e:BCmeaf;el:er SIcc Pculeuirrin-r-n
F.BUYER S GRAN' EE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY - -
Blake West it
Buyer i-Nome to oppev.-n an conveyance downer: Buyer:-Name at app cr a-corny:Aro document .
409 S Hall Street
Addrar(Sather cads«:; .Were,(Number and Stare)
Princeton IN 47670
THE GIBS DISCLOSURE FORM M AY HE USED t6 APTLY FOR CERTAIN OIDUCfIOHS FOR THIS PROPERTY IDENTIFY ALL OF THOSE THAT APTLY.
YES NO CONDITION I YTS NO CONOIT1UN
Q ❑ 1.Will this property be the buyer's primary I 0 ❑ 3.Homestead •
residence? Provide complete address of primary i El 0 4.Solar Energy!leafing/Cooling System
residence,including county: ❑
I r
a
306 N 6th Ave -Wind Power DevJUL 8 2014
Address(Asroberond Street) ❑ 0 6.Hydroelectric Power Device
_Princeton,IN 47670 Gibson I ❑ 0 7.Geothermal Ener lleatin 'Coo ing Device
c.o..Store 71 Eyrie Laxity _ ❑ O
R.Is this pr t: I property?
❑ Q L Does the buyer have a homestead in Indiana to be ����`�NN
vacated for this residence? If yes,provide ❑ 5 9.Would you! e LU rcc9iti !t1isslt$dlarflS for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Namh.r and5Trer) ----- 10 I-�l . l �-Oag
coy,Sear.'1P Cod. County ��^ I —��
Pitman-propr.-ny owner corm r nave E-mail