HomeMy WebLinkAboutHomestead_WintersINDIANA SALES DISCLOSURE FORM
Jennifer L. Maver Searche
Preparer oJ[he Sala Disdosure Form Title
226 W Broadwav Broadw�
Addres (Number and SueetJ Company
Princeton. IN 47670
Ciry.Smte. andZlPCode
Mariedith L Riley
Seller 1- Rame ae oppmrs om m�vryanae docvmenl Seller 2� Nome as appears on cwvryvnce docvment
87:; N Polk 'hi�.
Address (Numbe� and 5[ree[f Addras (Number and StreeQ
Oakland City IN 47670
Under penalties of perjury, I hereby certify that [his Sales Disclosure, [o [he best o( my knowledge and belief,
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disdc
Mcv�ttsl,�L�+i ��-t f+..w 1- L� _�i L�
SignaNreo/SAfer � Signamreo(Sdier
F. BUYER(Sl/GRANTEE(Sl -APPLICATION
ina Marie"- Winter�
Bvyvl-Nameasappevrs ryanredxument
6429 50 $
Addr¢s (Number ond Stree:J
Francisco. IN 47649
Ciry.Sm[e, andZ/PCade
dixiedaisy60902(o)yahoo.com
E-mail
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re AcY'.
Buyer2�Nameasappearsonconvryonredotur#tR111 q qO�C
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Address (Num6e� and Stree[J �/ //j/ I
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Ciry.Sm[e,andZlPCade GiBSON eniin�rv n��
THE SALFS DISQOSURE FORA1 A7A1' BE USED TO APPLY FOR CERTAIti DEDURIO.�'S FOR THIS PROPERIY. IDEYTIFI' ALL OF TI105E THAT APPLY.
[� ❑ 1. Will this property be [he buyer's primary �
residenm? Provide complete address of primary
C� � ,�es��ce� cly,ding county:
a g� r�
d� `"�-�t�°�i`r� � �l-7b�� i�n
[iry.5mce ZiP [ade [ounry
❑ � 2. Does [he buyer have a homestead in Indiana m be
vaca[ed for this residence? If yes, provide
comple[e address of residence being vacated,
including counq,:
Addres(NUmberanES[reet) /
[iry, S:ore ZIPCode
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3. Homestead
.�ergy Heating/Cooling 5�
S. Wind Power Device
6. Hydroelectric Power De�dce
7. Geothermal Energy Heabng/Co�
8. Is this property a residential rer
9. �Vould you like [o receive tax sr
property via e-mail? (Provide co�
below. Please see instructions%r
of uvailable in alf roun �e .
-,zoi-aoo. �
owner mnma name
Under penal[ies of perjury, 1 hereby certify that [his Sales Disclosure, to [he bes[ of my knowledge and belie�
and comple[e as required by Iaw, and is prepared in accordance �vith IC 6-1.1-5.5, "Real Proper[y Sales Discl
Spouse information, Social Security and Driver's License/O[her numbers are not necessary i( no Homes[ead
being filed.)
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Signah�re o(BUyert SignvNre of Buyvr2/Spouse
Tina MariP Winte
LnstSdigiGCO%Buyer'2/SpauseDnver's S[a[e LastS
Litense/ID/OtherNum6er A'am6er License/lD/OIheM'um6er
g Device
property?
�ents for this
�t information
re information.
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true, correct
re Act". (No[e:
duction is
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