Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Backes
1 INDIANA SALES DISCLOSURE FORM 51W II) 500 ID 1804954 Neel D.'PREPARER CARLAV.ALTMAN - '• ESCROW CLOSER Preparer el die Soles Disclosure Form .;Fate 331 FRANKLIN ST _TITLE CENTER OF INDIANA Address(Mumbo and Steet) Camwny. COLUMBUS.IN 47201- 812-372-1170 a TITLECENTEROFINDIANA.COM City.State,end ZIP Code Trleptu ne Number E-vat _ E:SELLERS)/GRr1NT{,ORrr(S) r (" r 1111 ..n DENNIS J STALEY II V.0'( t i ' LS Qti4((,J 4l. Yet GINA BOARD STALEY Seller 1-Name as appears on_ nveyvnce document Seller 2-Name as appearson ronvs once document 1998 N SR 65 1998 N SR 65 Address(Number and Srreer) Address(Number and Street) PRINCETON.IN 47570- PRINCETON,IN 47670- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ant umplete required by law and Is prepared in accorda an with IC 6-1.1-S.5,"Real Property Sales Disclosure Act". - `� •->d b 91 Woof 4 er • • . O I '� r 3eler n - 1 , GALS►' {f, t�e. 'Igji(,, sa`boora ( b ` Ul15 F.BUYER(S)/GR. NTEE(S)-APPLICATIO FOR PROPERTY TAX DEDUCTIONS-IDENTIFY LL ITEMS- - - •1•P, ;f--.q ROSE M BACKES • i H Ouyer l-Name os appears on conveyance document - �l;'94)er2-Nnn,e=appears an coveyance document ---'-` '-•-*s 1998 N SR 65 - 7 Address(Number and Street) 'Address(lumber andStrcel) FEB 1 1 [U15 PRINCETON,IN 47670- YES NO CD\DlTlah 1'f5 NO CONDITION OD I.Will this property be the buyer's primary ® _ 3.Homestead residence? Provide complete address of primary • © 4.Solar Energy Heating/Cooling System residence,including county: ❑ © S.Wind Power Device 1998 N SR 55 Addrect(N•+umber and Sree.y ❑ © 6.Hydroelectric Power Device PRINCETON,IN 47570 GIBBON 0 © 7.Geothermal Energy Heating/Cooling Device Ciy,state ZIP Cade County N 0's-- 2.Does the buyer have a homestead in Indiana to he © B.Is this property a residential rental property? vacated for this residence? If yes,provide. 0 l ©..._ i.` . 9,Would you like to receive tax statements for this complete address of residence being vacated, - property via e-mail?(Provide contact information includ^ing county: below.Please see instructions for more information. 9 2 /O /Vl /' dd/a '/- lO/•K _ - Not available in all counties.) Address(Number and knell , r= I)o if s_✓i IP _ . %yc) 27 77/J_ aCDS sa-300 -boc 3 -oa7 City,Stare ZIP Grit tenno' Primary propem owner canuecrDame E-moil