HomeMy WebLinkAboutHomestead_DrakeL\'�ALES DISCLOSURE FOR\I SDF ID SDO ID 464160 � Pege 1
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Samaniha l Culsinger
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226 W. Broadvray Broadvray Ttle, Inc.
Addros(Nvmhr oM Sveet) Compony
Princeton, IN 47674
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'E:SELLERS GRANTORS :':.-' :. < -Y ' �:�. _.._.3_.v.,_ d_'_ . �-'`:.•.,_'r,'.' .
Sharion F Rankin
SeIler ]- Name os oppevrs om m�vqnnce davmrnt Seller2 - Nume os upyevrsom m�veyun�e document
9837 W 575 S
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O.vensville, IN 47665-
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Under penalties of perjury, 1 hereby cer[i(y tha[ this Sales Disclosure, to [he best o(my knowledge and belief, is true, correct
an lete as reqwr by w, an�y/is�repared in acwrdance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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YER S� GRANT S�.��-APPCICATION�FORPROPERTY�TAX�D IIUC-�'iA#S- TIEYAL�ITEMS�THAT'APPLY�`.:' �. "
Donnie E Drake ally J Drake
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R.R. 1, Box 77A x 7A
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Ellery, IL 62833 Ellery. IL 62833-
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THE SALFS UISCLOSURE FORM MAY BE USED TO APPLY i0R [ENTAIN DEDURIONS FOR THIS PROPERTV. IUENiIfY ALL OF THOSE TIiAT APPLY.
YES NO LOYDITION
x❑ ❑ 1. Wi11 this property be the buyer's primary Qx � 3. Homestead
residence? Provide complete address o( primary olar En ating/Cooling System
residence, induding county: � �
sa37 W 575 S 5. bVind Power Device
AEdress(h'umbercndSVmtJ ❑ Q 6. Hydroelectric Power Device
O.vensville. IN 47665 GIBSON � � 7, Geothermal Energy Heatlng/Cooling Device
Ciry, Sm[e ZIP Code Counry
� � 2. Does Ihe buyer have a homestead in Indiana to be ❑ � 8. Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9� �vould you like to receive tax statements for this
complete address of residence being vacared, property via e-mail? (Provide contact information
including county: below. Please see instructions for more in%rmotion.
Abtavailable in all coun[ies.)
Address (Kvm6er a ^d Sveet)
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Under penalries of perjury, I hereby certify that this Sales Disclosure, to the best o(my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 641-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other num6ers are no[ necessary if no Homestead Dedutcian is
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