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HomeMy WebLinkAboutHomestead_Crothers4 'D. PREPARER Samantha Cutsinger IN1L 226 W- Broadway Broadway Title, Inc. Addrm (Number and Sheer) Company Princeton, IN 47670. City, State, and ZIP Code Telephone Number E�mnll E. SELLER(S)/GRANTOR(S) Matthew O Robbins Tara D (Spicer) Robbins 5e11er1 Name.s.,,amrsoncunvewncedocument Sell, 'Z Nameosuppearsoncnnves.mrdveumeat 108 Rock Rd. 108 Rock Rd Address [Number and Street) Addrrst(Numberand5treecl Ovvensville, IN 47665 - Owensville. IN 47665 - E -mai) Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct an omplete as r ed by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". c Sipnvr ,ofQ(� n .Signature afSelter z0 F. BUYERS GRAI ES - APPLICATIONFORPROPERTYTAXD IFY ALL ITEMS THAT APPLY Gary Crothers Sandra Crothers Buyer) Name nso _ n vnvevume dovmen: Buyer 2- Name vs appeaapfciaveymace dotumear 77 771 CR 8 Addres(Number acrd Street) Address 1Humber and Street) Norris Ciry, IL 62869- Norris City, IL 62869 - Ciry, State. and ZIP Code h - /V/A Cdt. State. and ZIP Code N Tel" hone Number Em.d TelenlmnaNamb,, E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DE DUCFI ONS FOR 'ALL OF THOSE THAT APPLY. 71SPROPERTY.ID YES NO CONDMON N ITION x❑ ❑ 1. Will this property be the buyer's primary ❑ ❑ 3. Homestead residence? Provide complete address of primary ar •nergy Heating /Cooling System residence, including county: ❑ © 5. Wind Power Device 108 E ROCK ROAD ❑ © 6. Hydroelectric Power Device Addreu(Number and Street) Owensville, IN 47665 GIBSON ❑ © 7, Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? Ciry, Sta te ZIP Cade County ❑ ❑ 2. Does the buyer have homestead in Indiana be a to 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. Not available in all counties.) X0-1 g --D6 3z3 p0f.777 -o a, Address (Number and Street) City, State ZIP Cafe County - Primary property owner can. tact nvme L' -mail Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is bein filed.) OA-A­ c. Sign te Bvyerl na[ureo /Rvyrr2 /Spo ErAAX C T��r� Pdnteddeg,418 ... f Buyer l 5(gln�Do'te tH.a /0o/rvn'I Last tgtrs of Buyer l Drivers State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security License /ID 10ther Number Number License /ID /Drher Number