HomeMy WebLinkAboutHomestead_Paul►NDIANA
Laura�Rininqer Ciosing Coordinator
;feparerof the Salu Otsrinwre Form Title
7820 Eaale Crest Blvd Ste 201
Addrns(NumberandSneeQ
�nsville IN 47715
, , Srn[e, ond ZlP Cnde
PlainP M Co�ch
Seller 7� Name as appears om m�veyonce dotument
404 E Walnut Ct
Addres (A'u mber atM Stree[J
Ft Rranrh, IN 47645
Ciry, Sm[e, and ZIP lade
Reqional Tifle Services LLC
Company
E-mail
Seller Z- Name as appearson ronveyance documenr
Addres (Numberand 5[reetJ
Ciry, Smte, and ZlP Code
Under penalties of perjury, l hereby certify that this Sales Disclosure, to [he best o( my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
�,Qa��i �ucw
Signature of5eller Signature o(Sel/er
Buyer I- Name asoppeursom m�veyonre domment
1407 W. Mack Avenue
Addres (Numberorid Sveet)
Olnev IL 62450
Ciry. Smte, and ZIP Code
Buyer 2� Name at appmrsom m�veyonce dommen[
dddres(NumberandStreeQ
Liry, Srute, ond ZIP
THE SALES OISCLOSURE FORM M1U1Y BE USED TO APPLY FOR CERTAIN DEDUCfIONS FOR THIS PROPERTY. IOENTIFY ALL OF THOSE THAT APPLV.
�✓ � 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
6'iR5 S d75 S
Addres (Number and Strre[J
Owensville IN 47665 Gibson
City, Slate ZIPCode Counry
��✓ 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number and Street)
City, Smte ZIP lode Gounty
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�✓
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0
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3. Homestead
4. Solar Energy Heating/Cooling System
S. Wind Power Device
6. Hydroelec[ric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residen[ial renral property?
9. Would you like to receive [ax sta[ements for this
property via e-mail? (Provide contoct injorma[ion
below. Please see instructions jor more information.
Not available in all counties)
��s -o,��ar��o � 3.� �
Pnmary property owner ronmc[ name E-mail
Under penalUes of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse informadon, Social Security and Drive�'s License/O[her numbers are not necessary if no Homes[ead Deducdon is
being filed.) �1 j �1
�n[ed Legal Name a(Buyer 1 Sgn Da[e (MM/DD/Ym'7
�� � (.� (� �
Las�digiCSOfBuyerlDriver's Smfe Las[SDigiGtofSocial5ecurityNumber
License/ID/OCherNum6er �
Signa[ure of Buyer2/Spouse
Pnnted Legal Name ojBuyer 2/Spouse
S(gn Dafe (MM/OD/YYYp
LastSdigiGSOfBuyer2/SpouseDriver"s SWte LastSDigiuo�5ono15ecurity
Num6er License/(D/OCherNum6er