HomeMy WebLinkAboutHomestead_Rodriguez' INDWNA SALFS DISCLOSURE FORM SDF ID: P2 e 2
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.D.'PREP,ARER =' ti r% ="
Rav M. Drulev Attomev No. 4759-26
Preparera(the Sala Dlsdosure Form Ttle
OS N. Church Street. P.O. Box 146 Law Office of Rav M. Drulev
Addrat(Numberand5treetJ Company
Fort Branch. IN 47648
:Es?SELtiER S'.GRANTOR S .;`r .'.�"� Y+ .r'; t" -�'��,.y�.Y�"' y.'v. $Fa �es_-� a.,,,,II]�'.� 4��-�r_-c rs.-��i.`-'i."�s f'��.i�'.�
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Parthenia M Frenr.h
Seller I- Name as appears on conveyance dacummt Srller 2- Nume as appmrs on canveyvnre docummt
1130 N Wainut St Ant 25
Addrgs (Number and Stree[) Addras (Number and StreetJ
Mt. Carmel. IL 62863
Ciry, Smce, andTJPCade Ciry, Smte, and ZIPCode
E-mail Tele honeNUm6el E-matl
Under penal[ies of perjury, t hereby certify [hat this Sales Disclosure, to [he best of my knowledge and belief, is true, wrrec[
a c p_ley_[qe as required by l-a{w, and is prepared in accordance with IC 6-11-5:5, "Real Property Sales Disclosure Ad".
Y (�L.i_.(i/u�n,i-�-e_i (�� . 'l' itd,1�
- 5{qnaareo(Seller 5(qnaNreo(Seller
Parthenia M. Frenr.h ti� ���� �- O 1�
Pn'nted Name o Sel/er 9 n Dote HM D Pnnted Nome o Seller Si � DOt¢ MM o
�F,�BU,YER S � GRdN,TEE S _,�APP,L-IGATION3F.OR?PROPERTiY<TAXfDEDUCTIONS�IDENTIF,YrALL",ITEMStTHATc�AP.P,tiYf�,.^?�;., r;�i;�f!_'r:t`
Rodnev C Rodriavez Debra G Rodriguez
Buy+er I- Nameas appmrs on ronveyance docummt Buyer I- Name as appmrs om m�veyvnre docvmm[
402 Walnut Street 402 Walnut Street
Address (Numberand Street) Addreu (NUmber and Sveet)
Mt. Carmel. IL 62863 �.nt ['armel IL 62863
City, Smte, and LPCode Ciry, SmtG and ZIPCode
E-mail Tele honeNumber E-ma/l
THE SALFS DISCLOSURE FORM MAY BE I1SED TO APPLY FOR CERTAI!! DEDUCf10N5 FOR TNIS PROPERTY. IDEYTIFY ALL OF THOSE THAT APPLY.
YES NO COYDRIOY YFS 10 C08DRION
Q✓ � 1. Will [his property be [he buyer's primary Q � 3. Homestead
residence? Provide complete address of primary � � g, Solar Energy Heating/Cooling System
residence, including tounty:
6 5'i W 50 c ❑ ❑�/ 5. Wind Power Devite
Addras(Numberand5bett) ❑ ❑✓ 6. Hydroelectric Power Device
Princeton IN 47670 Gibson � Q 7.GeothermalEnergy Heating/Cooling Device
Gry, Smte Z/P Cade Caunry
� ✓� 2. Does the buyer have a homestead in Indiana to be � ❑`� 8• �s this proper[y a residendal ren[al property?
vaca[ed for this residence? If pes, provide ❑ � 9. Would you like to receive Wx sta[ements for this
comple[e address of residence being vacated, property via e-mail? (Provide contac[ informadon
including county: 6e(aw. P(ease see instructlons for more information.
Not availa6le in all coun[ies.)
Address(NumberandSVeet) � /^ // /�% //G/' /� M. �� � � T /
(O d � w (l w � o�-/
Ciry, Smre7JPCOde Counry
Rimaryproperryoumerconmctname E�mail
Under penalties of perjury, t hereby certify tha[ [his 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 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Securiry and Driver's License/O[her numbers are not necessary if no Homes[ead Deduction is
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