HomeMy WebLinkAboutHomestead_BurrDISCLOSUREFORM SDFID:
Prcparer ofNe Sof6 D'udosure Form
219 N Hart St
Addres (Num6e� ond SPte[J
Princeton. IN 47670
Ciry, Sm[q and ZIP Code
Sd/er 1� Name as appears on ronveyanm dacvmen[
7f14 W White Pine
Address (NumberondSnttQ
Santa Claus. InAiana 47579
Clry, Sm[S and LPCade
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iall. Partenl
Sef/er 2- Name as appean on tonveyvna docvmm[
Address(NumberandSaeeQ
9
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and c lete as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Act".
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Sign ofSelltr SignamreoJ5e0er I
Jason Os6ome
F. BUYER S GRANTEE S=APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENT[FY ALL fTEMS A LY "�
K nn h Burr Lisa Burr �
' ppearsonronvryanredxument Buyer2�Nameasoppearsomm�vrynnmdacumm�.1 i
570 W State Street 510 W State Street 'tl�� 1 �?��5
Addrea(h'umMrondSVeet) Addresv(Num6erond5veea) n �� �A�
Princeton. IN 47670 Princeton IN 47670 .l I�.. '�!#�4D
Ciry, Smtq and LP fode Cfry,
0 ❑ 1. Will this property be the buyer's primary
residence? Provide comple[e address of primary
residence, including county:
301 S Main
Addr�(NumbonndSVtt[)
Owensville IN 47665 Gibson
Ciry, Srule LPCade Cowry
� ❑ 2. Does the buyer have a homes[ead in Indiana [o be
vaca[ed for this residence? If yes, provide
complete address of residence being vaca[ed,
including county:
510 W State Street
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❑
❑
❑
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❑ 3.
� �tar Energy Heatlng/Cooling
0 5. Wind Power Device
0 6. Hydroelectric Power Device
� 7. Geothermal Energy Hea[ing/C
� 8. Is this property a residentlal r
❑ 9. Would you like to receive tax �
property via e-mail? (Provide c
6elow. Pleases ' asfi
available in all caunnes)
�,J P
e Device
property?
nents for this
rt informafion
- /7 -/� - �0 S�-lJO�Jj.O/,
2
�••'•�W��•• ��� �_..'�I Pr'nmacnrnnemownerronm<tname � E-mail
Under penaldes of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, corrett
and comple[e as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse infgrmadon, Sytial�Secyrity and Driver's License/O[her number�c�are not necessary if no Homes[ead Deducdon is
s Smte
License/ID/O[her Num6er
I ica Burt
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