HomeMy WebLinkAboutHomestead_Hume (3)��m,��.� s,u.rs msc�osusei ror.�� sur:��
D�P.REPARER
JudyA. Williamson Closer �
Heyorero/the5alesDisclwurePorm Title
4401 Theater Dr Evansville Teac
Add¢;s(NUm6rrondStrea) Company
Evansville. IN 47715 �
is�saza
Sefler Z� Narne ns appenrs am m�ve}vnce dacument
7709 Cottonwood Dr.
Ciq�. Smm.
m
Under penalties of perjury,,l hereby certifi� that this Sales Disclo3ure, to the best of my knowledge and belief,
and co lete as required by la�v, and is prepared in accordance witl� 1� 1.1-5.5, "Real Property Sales Discic
�'�-�,.� � ,C�_ � ` h�r;�c,Cr, � ���
Ag�oN+�o(Sell— er —/����/ - . Signom o SeOer �
��u/�¢> ,4� �7i��H � iG �2 Y -7vl5 �-:J� I (.a � �l!�-P t �
Nicole Hume N/A
�vyer ]- Name us appears an ronve�nnre docurnent
206 Delaware St.
Addreu (Nvm6er and Stre<tJ
Princeton, IN 47670-3428
H-moil � TelephoneNUrnber
THE SALES DISLLOSURE FORhi AL1Y BE USED TO APPL}' FOR CERTAI\ DEUURIOYS FOR THIS PROPERT1'. IDE�TIFY ALL OF THOSE TH.4T
Q � 1. Wil1 this property be the buyer's primap�
residence? Provide complete address of primary
residence, including county:
206 DELAVJARE ST.
�Addres(Numberand5veet) '
Princeton, IN 47670 GIBSON
City, Smte ZIPCode lounry
�� 2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address oF residence 6eing vacated,
including county:
Address(NUm6erandSVeeQ .
Ciry, Sruu ZIP Code Counry
❑X
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3. Homestead `
4. Solar Energy Heating/Cooling 5
5. Wind Po�+�er Device
6. Hydroeleccric Po�ver Device
7. Geothermal Ener�� Headng/Co��
8. Is this property a residential rei
9. 4Vould you like to receive tax st
property via e-mail? (Provide co;
6elow. Please see inswctions for
Not available in al! coun[ies.)
r,e� �
E mail
we, correct
ire rlct".
�
,rri AUp�T�R
; De��ice
property?
1enLS for this
x in�ormation
re informanon.
� a�
E-mnil
Under penalties of perjury, 1 hereby certi�}� that this Sales Disclosure, [o the best of my knowledge and belief, is true, correc[
and complete as required by law, and.is p�epared in acwrdance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and DFiver's License/Other numbers are not �iecessary if no Homestead Dleduction is
being filed.) '
����I� � c,�,� I�I I.��Po �:�t ;n,t �
SignaNrea(Byu] � � SlgnatureojBiyer2/Spouse I
'',
Printed Legol Name o(Bvyer 2/Spoure
Last 5 d("qia of Buyer 2/Spouse Driver's Smte Las[ 5
Numbei License/lD/OtherNumber