HomeMy WebLinkAboutHomestead_Miskell (17)Bryceann Cutsinger
Preparer o/Ne Sa/es Disrlosvre Form
226 W.Broadway
Addres (Numbe� and 5[reel)
Princeton,IN 47670
Ciry, Smte. and ZIPCOde
E.SELLER(S)/GIL
Daniel R. Sisk, Jr.
Seller 1- Nome as appears an rom'eyanre da umene ` I
-�e��- a�339 ori� M.IIFr �2t=H� �v,�-
Addrrs (Number and Strre[)
Princeton,IN 47670
Broadway Title, Inc.
E-mail
as appears om m�veyma dorumenl
Addreu (Num6er and5tree[)
Ciry, Smte, and ZIP Code
Under penalties of perjury, 1 hereby certify [ha[ [his Sales Disclosure, to [he bes[ of my knowledge and belief, is true, correc[
and complete s required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disdosure Ac[".
� �' � ,
�a �
Signamreo(Se/ler _ /i I,/ I SignaNreafSelfer
Daniel R. Sisk, Jr. ��./ t�'{/ iS
- APPLICATION
-8uyer I- Name as appmrs on ronveyana docvment
6871 S. 1100 E.
Addres (Numbt� and S[ree[)
Oakland City, IN 47660
Bvye� 2- A'ame as appmrs an conveyance docummt I
DEG 3 0' 2015 �{
Addrcu (Numbrr and 5[rzeQ !' \
Ciry. Sm[e, and ZIP
:��1�
THE SALES DISCLOSURE FORM MAY 9E USED TO APPLY FOR CERTAI,Y DEOURIOYS FOR TMIS PROPERTY. IOENTIiY ALL OF THOSE THAT APPLY.
�✓ ❑ 1. Will ihis property be [he buyer's primary '
residence? Provide complete address of primary
residence, including county:
1027 S. Gibson
Addrecs (NUm6er andS[ree[J
Princeton,IN 47670 Gibson
Ciry, Sm[e ZIPCode Counry
❑ ❑✓ 2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addres (A'vmber and Srree �J
Ciry.Smre ZIP
co��ry
❑✓ ❑ 3. Homes[ead
❑ o
❑ o
❑ o
❑ ❑`i
❑ ❑
�d / �
System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geofhermal Energy Heating/Cooling Device
8. Is [his properry a residen[ial rental property?
9. Would you like to receive tax sta[ements for [his
property via e-mail? (Provide contact information
below. Please see instructions for more information.
'o/ -Oa
E-mail
Under penal[ies of perjury, I hereby certify tha[ this Sales Distissure, [o t e e - -
and complete as required by law, and is prepared in accordance wi[h IC 64.1-5.5, "Real Proper[y Sales Disclosure Ac[". (No[e:
Spouse information, Social Security and Driver's License/O[her numbers are no[ necessary if no Homes[ead Deduction is
mg f led.
� A���4
Sig reof9uye�1 SignamreofBuye�2/Spousr
Elizabeth A. Miskell 12 IT G��
LastSdigi[so(Buyer2/SpouseD�iveh Smte Las[SDigiGSO(Sociol5ecurity
Lirense/lD/Other,\'um6er Num6er License/ID/O[herNum6er