HomeMy WebLinkAboutHomestead_Nixon (8)INDIANA SALES DISCLOSU
D.PREPARER. � ---��
CHRISTOPHER E. CARL
Preporer o(Ne Safa DisdpNre Fortn
101 PLAZA EAST BLVD. SUITE 102
Addr�' (Number and Stree[J
EVANSVILLE. INDIANA 47714
liry, SrutG ondTJPCade
JEFFRFY A RRUCF
Seller ]- A'ome as appeors om m�vryvnre document
Addr� (Number ond Svee[)
3/3 5 KacG
Gry, SmrG and7JP[ode
Lwc6Jo�/ f� �7L?O
Ttle
Lompany
Sellerl- Name as appeors on conveyonre docvment
Addr� (Number and5tree[J
Ciry; Smt4 ond ZIPCade
Under penalties of perjury, t hereby cer[ify that this Sales Disclosure, to the bes[ of my
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Res
" . mr�� r S(gnaareo(Shcer
JEFFRFYA BRUCE 10l �� I2015
e
FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Q ❑ 1. Will this property be the buyer's primary <
residence? Provide comple[e address of primary
residence, induding county:
313 S RACE CTRFFT
Addras (Number and So-eet)
PRINCETON INDIANA47670 GIBSON
City, Smte LP Code Lounty
❑ Q 2. Does [he buyer have a homestead in Indiana [o be
vaca[ed for this residence? If yes, provide
compiete address of residence being vacated,
including county:
Addr¢s (Number and 5trre[)
Ci9:5mreZlPGOde Counry
u
�
■
�
■
�
E-mvil
e, correct
Act".
❑ 3. Homestea �
�
. o ar �nergy Hea[ing/Cooling System
Q S. Wind Power Device
0 6. Hydroelec[ric Power Device
0 7. Geothermal Energy Heatlng/Cooling Device
l
❑✓ 8. Is this property a residenaal rental property?
Q 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
6elaw. Please see instrvc[ions for more injormadon.
No[ availa6le in all coundes.) j
��
ronmRname
07 - Y[y -000. .t ) � .a
�. E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge aod bel ;ef, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6;�.1-5.5, "Real Property Sa(es Disdosure Act". (Note:
Spous,g information, Social Security and Drivers License/Other numbej�sr�re not necessary if no Homestead Deduction is
Sign
I