HomeMy WebLinkAboutHomestead_Drake (2)SDFID:
A. Lewis
226 W. Broadway
AdCress (Number and Svee�J
Princeton, IN 47670
mdZlPCode
Chad I. Pfohl
Seller 1- Name as vypearz on conveyanre dotvmmc
9859 W 575 S
Addren (Number and Street)
Ow2nsville, IN 47665
Ciry.Sm[& andZlPCOde
�.
Office Dfanaqer
rrne
Broadway Title, Inc.
com��
rer...�,..,.su,..�n.. E-mail
Jennifer [•i. Pfohl
Se/ler 2� Name as appmrs on ronveyanre docvmm[
9859 W 575 S
Address (Num6er and Sveet)
Owensville, IN 47665
Cin.Smte. andll➢Code
Under penal[ies of perjury, 1 hereby certify [hat [his Sales Disclosure, [o the best of my knowledge and belief, is true, correc[
and com le[e s required by law, n's prepared in accordance �vi[h IC 64.1-S.S, "Real Property Sales Disclosure Ad".
Si naNre��J,��% � Si reof eller l✓ )i
�9,��`. � ��z_����9 ,(� M D��-�+. ia-a9-o9
�illiam E. Drake
]- Name as apPears om m�veyon�e dx
SPeetJ
Jami L. '
� Name as appears on
(Nvmberand5vee[)
[iry. Smre.
THE SALFS DISCLOSURE FORM h1AY BE USED TO APPLY FOR CFRTAIN DEDIICf10N5 FOR THIS PROPERlS'. IDENTIFY ALL Oi TNOSE THAT APPLV.
YES NO CONDRION
� � 1. Will this proper[y be the buyer's primary /
residence? Provide complete address of primar7�
residence, including county: �
985° W 575 S
A�dras (Num6er and Sveet)
Owensville, IN 47665 Gibson
Ciry, Sma ZIPCode Counry
� � 2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
comple[e address of residence being vacated,
including county:
AdCms
Ciry, Smte ZIPCoCe Covnry
�] � 3. Homestead
� Q 4. Solar Ene Heating/Cooling System
. md Power Device
� � 6. Hydroelectric Power Device
� � 7. Geothermal Energy Heaung/Cooling Device
� Q 8. Is this property a residential rental property?
�� 9. Would you like to receive Cax statemenGS for [his
property via e-mail? (Provide contoct information
below. Please see inshvctions for more in/orma[ion.
No[ available in all counties.)
oT�-��- o9-c��-��/�9-b�/
ownerconmernome
Under pennities of perjury, 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance �vith IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
LastSd'(qitso/Buyerl0rive/s Smte
License/!D/Ofher Number
l Z-dP- l�arv,; L �\.ro�l� i 2 I 4 1 zetJ3
SignDate(MM/00/YYY1)
Number Litense/!D/OfherNum6er