HomeMy WebLinkAboutHomestead_HiltonINDIANA
CHRISTOPHER E. CARL SETTLEMENT AGENT
Preparer o(Ne Sala Disdosure Form Title
EXPERT TITLE SERVICES
E-mail
RICHARD D. GILMORE
Seller ]-,Vame as appeors on conveyanre documen.
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Addra's (Number and S�eetJ
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liry, SmtG and ZIPCode
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MELISSA S. GILMORE
Seller2 - Name as appanrs am m�veyonre documen[
58y3 S //>SD i� _
Addres(Numbe�andStr�e[J
h'umber
Under penalties of perjury, [ hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance w�th 1.1•S.S, "Real Prope Sales Disclosure Act".
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Signamreof5effer � Signamreo(Seller � / /L
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Buyer i- Nome as appears on romeyanre
ZIPCode
THE SALES DISCLOSURH FOR.N MAY BE USED TO APPLY FOR CERTAI.Y DEDUC710NS FOR
�✓ � 1. Will this property be the buyer's primar
residence? Provide complete address of
residence, including county:
OWENSVILLE. INDIANA 47665 GIBSON
Ci ,StateZfPCade Counry
� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
5950 NORTH WESTSHORE DRIVE
Address (Num6er and Street)
MORGANTOWN,INDIANA46760 %�O�C[i.7�
Ciry, Smte ZIPCade Counry
Buyer 2- Name as appears on ronveyonre documen[
Street)
Ciry, Smte, and ZIP Cade
Num6er
THAT APPLY.
❑✓ ❑ 3. Homes[ead
4. Solar E eating/Cooling Sys[em
5. Wind Power Device
❑ [� , 6. Hydroelectric Power Device
❑ � Geothermal Energy Hea[ing/Cooling Device
� �. Is this property a residential rental property?
❑ 9. Would you like to receive tax s[atements for this
property via e-mail? (Provide contoct informotion
6elow. Please see instructions(or more information.
Not available in all rounties.)
c�-/%-O�' -o'l�JO - O��t�. ���" OaT�
TIMOTHY HILTON . .f ) i�
ronmcrnome
E-mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein filedJ �/, �
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5(gnaNreo BuyeN SigoamreofBvyer2/Spavse
NU111¢ O�Bify¢f ] S(gn Da[e (MM/DO/YYYt}
Pnnted Legal Name o(BUyer 2/Spouse
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LastSDigiGSOfSocialSecunryNum6er Las[Sdigi[sofBuyer2/SpouseDrner's Smre Las[SDigi[soj5ocia15ecunry
Lirense/ID/OtherNumber Num6er License/!D/OCherNumber