HomeMy WebLinkAboutHomestead_Brown (2)INDIANA SALES DISCLOSURE FORM SDF ID:
Brvceann Cutsinaer
Preparer oJ[he Sala Disdmurc Form Title
226 W. Broadwav Broadwav Title. Inc.
Addres(Numberand5[reeQ Company
Princeton, IN 47670 samanthabti(dmw.twcbc.com
Ciry, 5[a[q and ZIPCode Telephone Number E�mail
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�ler 1- Name as appmrs w ronveyvnre dxvmen[ Seller 2- Name as appears on canveyvnte dxumm[
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Address(Nvm6e�and5trre[) Addras(NUmberandS[reet) / -7
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Ciry,Stace,andZlPCOde
E-mail
Under penalties of perjury, 1 hereby cer[ify that [his Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance w[h C 6-L1-5.5,' Rea Prop rty vSyales �Disdosure Ac[".
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SignaNieoJSeller � Sign u eo(Seller � g �—I /
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- APPLICATI ON FOR PROPERTY TAX
,,.... � mnveyanredocvmen[ Buyer2-Nameasappearsonromeyanredotvmen[ " ���
287 Lake Inwood Dr. n/ ' J1-d'7T
Add�ess(Nvmberond5vee[) Addras(NumberandStreetJ
Princeton. IN 47670 GIBSON COUNTY AUDITOR
Ciry, Srn[; and ZIPCade Ciry, SmtG ond 21PCode
E-moil Tele honeNumber P�mvil
THE SALFS UISCLOSURE iORM MAY BE USED TO APPLY iOR CERTAIN OEDUCf10\S FOR THIS PROPERTV. IDENTIFY ALL OF THOSE TNAT APPLV.
YFS NO
� ❑ 1. Will this proper[y be the buyer's primary
residence? Provide comple[e address of primary
residence, including county:
5775 S 875 E.
Addras (Number and5trre[)
Oakland Citv. IN 47660 Gibson
Ciry.SrureZ/Plade Counry
❑ ❑ 2. Does [he buyer have a homes[ead in Indiana [o be
vacated for this residence? If yes, provide
comple[e address of residence being vacated,
including county: .
Add�¢s
[iry. sm¢ LP[ode
❑ � 4. Solar Energy Heating/Cooling System
❑ � 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
❑ 0 7. Geothermal Energy Heating/Cooling Device
❑ ❑� 8. Is this proper[y a residen[ial rental property?
❑ � 9. Would you like to receive [ar s[atements for this
property via e-mail? (Provide contact information
or more information.
Not availa6le in all munties.)
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Under penalties of perjury, I hereby certify [hat this Sales Disclosure, [o [he best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6Q.1-5.5, "Real Proper[y Sales Disclosure Act". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduc[ion is
being filed
na[� o(Buyeri Signoturco(Buye�2/Spouse
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Pnn[edLegalNameojBuyerl SignDa[e(M.H/DD/riYYJ Pnn[edLegalNameofBuyer2/Spouee SignDa[e(M,N/DD/YYYh
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Number Last 5 digics afBuyer2/SpouseOrivers State Last 5 Digia of5acial Secunry
License/lD/0[herNumber Num6er License/!D/O[herNumber