HomeMy WebLinkAboutHomestead_CowlingFORM
Jenny Mayer
Preparer o(the Sales Dittlasure Form
226 W Broadway
Address (Number md SnretJ
Princeton,IN 47670
Ciry, Sm[e, and ZIPCOde
Karen Stump
Seller 1- Name as appmrs on tonveynnre dornnten[
604 S Ninth Ave
Addreu (h'um6er and Sveet)
Haubsladt, IN 47639
Cig•. Smte. and LP Code
TelenhoneNum6er c.,.�,.n
Searcher
Title
Broadway Title Inc
Telephone Number
Seller 2- Nomc as oppeurs on conveyvnre dacument
Ciry.
(Numbernnd5tree�)
Under penal[ies of perjury, 1 hereby certify tha[ this Sales Disclosure, to the best of my knowledge and
and coJnple[e as required by latv, and is prepared in accordance with IC 6-7.1-5.5, "Real Property Sales
S�qnaNre o(Seller / '/ -q�[
KarenStump �[/aS /i
Diane M. Cowling
Buyer 1- A'ame os oppears an tonve}ance dxumen[
� on S. Cti�� llCt r�i Sf •
Addren(A'umberan SVee[)
�f- ��aaC�1 l�� �"7C-Y�
Ciry,Smte,andZlPCOde �
�S1�2 (oGS�-7740
THE SALFS DISCLOSURE FORbf MAl' BE USED TO AVPLV FOR
FoR THIS
� ❑ 1. Will this property be the buyer's primary �
residence? Provide comple[e address of primary
r i ce, includin count :
1 rL (}'gjr1�� ]
ress(Numberan Svice:J I (
�t
Ciry,Smte IPCade Counry
❑ ❑ 2. Does the buyer have a homes[ead in Indiana to be
vacated For this residence? If yes, provide
comple[e address of residenm being vacated,
including county:
Address (Number and Sueet]
City, Stote ZIP Cade Counry
Slgnom�e o(Se//er
Pnnred Name o(Se!/er
CTIONS- IDENTIF`
Bvyer I- Nome os appears
Address (A'umber and SVee
Ciry.Slafe, andZlPCode
❑
❑
❑
❑
❑
❑
�
0
0
0
❑'i
❑
4. Solar Energy Heating/Cooling S
S. Wind Power Device
6. Hydroe�ectric Power Device
7. Geo[hermal Energy Heating/Co�
8. Is this property a residential rer
9. Would you like to receive tax st;
property via e-mail? (Provide co,
6elow. Please see instructions jor
Not ovailable in all coun[ies.)
3 -c� ��a�� -t�� o
Under penalties of perjury, I hereby certify that [his Sales Disclosure, to the bes[ of my knowledge and
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales
Spouse informa[ion, Social Security and Driver's License/O[her numbers are not necessary i( no Home�.
being iled.)
,caat¢ Y11 •�r�inc,t� i�-�2�F-�s
Signomre of8uytr] Signamre o(Buyerd/Spoute
Diane M. Cowling
Pnnted Legvl Kume of Buyer I
Las�Sdigiao(Bnyer7Oriver's Smte
Lirense/lD/OtherNum6er /_( �
Sign OO[¢ (MM/DO/YYYY�
,VUm6er
Pnnred Legol h'amr af Buyer 2/Spouse
true, correct
re Act".
g Devi�e
property?
ients for this
Y tnformation
�e informaCion.
I �-00�'
E mail
, is true, correct
�sure Act". (No[e:
Deduc[ion is
LastSdigi[saJBuyer7/SpauseDriver's Smle Last�Digitso(Social5ecuriry
Number License/lD/0[herNumber I