HomeMy WebLinkAboutHomestead_Elliott (4)INDIANA SALES DISCLOSURE FORM
Jenny Mayer
Preparer oJNe Solet 08dosure Fo'm
226 W Broadway
Addrm (Number and Svee�J
Princeton,IN 47670
Ciry, Smre, and ZlP Code
E. SELLER(5)/GRANTOR(S)
Weber Investmenis. LlC
Selfa 1- Nome ar appears om m�rryvna dacumenl
1017 W 150 N
Addrrs (Number and Svn!)
Princeton,IN 47670
Ciry.SmK�����PCode 1 _ . 1
Searcher
Broadway Tide Inc.
Seller 2- Name ar oppears on conveyan[e dot'ummt
Addrrs (Num6er and SReet)
ciry. s[arc,
E-mail
Under penalties of perjury, 1 hereby certify [hat this Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, torrec[
_a�id�cqmpletey�s requiyed by la}v, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Ad".
�
Signarvre ofSel/er
Pamela K. Weber - Weber Investments, LLC �a2'
- APPLICATION FOR
" Corey A. Elliott �
uyer 1- 0'ame as appears on ronveyvnce dxummt
107 S Spring Street
A�dras (Num6rr and 5[mQ
Princeton,IN 47670
Ciry. Sm[e, and ZIP Code
51gnaNreoJSeller
]DENTIFY
os appmrs on convqy�qwrpdo�rmen{� 0 ��
UCI. G L
Add�ess(Numberand5vee�J
Ciry, Smn, and ZIP
THE SALES OISCLOSURE FORM MAV 9E USED TO APPLY FOR CERTAIN DEDURIOVS FOR THIS PROPERTY. IDENTIiY ALL OF THOSE TNAT APPLV.
�✓ ❑ 1. Will ihis property be the buyer's primary
residence? Provide comple[e address of primary
residence, including county:
1234 E 150 S
Address (h'um6er and5[ree[)
Princeton. IN 47670 Gibson
Ciry. Smre Z1P Code Counry
❑ Q✓ 2. Does the buyer have a homestead in Indiana ro be
vacated for [his residence? If yes, provide
tomplete address of residence being vacated,
including county:
o�asm�eq
Ciry, 5[a[e ZIP Code
❑
❑
❑
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0
0
0
0
0
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4. Solar Energy Heating/Cooling S
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Hea[ing/Co�
8. Is this property a residen[ial rer
9. Would you like to receive [ax sta
property via e-mail? (Provide co�
below. Please see instructions for
_OA
Under penal[ies of perjury, I hereby certify [hat [his Sales Disclosure, [o [he best of my knowledge and belief,
and comple[e as required by law, and is prepared in accordance wi[h IC 6d.1-5.5, "Real Property Sales Discic
Spouse informatlon, Social Security and Driver's License/O[her'numbers are no[ necessary if no Homes[ead I
being filed.)
��yy Q �`�Gi�7
Sig. aNre of Bvyer] Signamre of Buyer2/Spouse
CoreyA. Elliott (��/�IS
Pnn[ed Legal Name of Buyer 1 Sign Da.e ( /00/n'YY) Pdnud Legal Nome of Buyer 2/Spause
� ,�
Las[SdigivojBuyer2/SpouseDnver's Sm[e Last51
License/ID/O[herNum6er Number License/ID/OtherNumber
g Device
property?
ien[s for this
•t information
re information.
� E-mail
[rue, correct
ire Ac[". (No[e:
duction is
1 Dale (HM/00/YITYf
[s o(Social Setunty