HomeMy WebLinkAboutHomestead_Smith (3)IYDI.\\A SALES DISCLOSURE FORJI SDY' ID SDO ID 729549 � Page Z
D.PREPARER
�C Banen
Preynnr oj[he Scla Otrdosvrc fom Title
226 W Broadvray Bwadway rtle, Inc.
AJJrm (,\'umGer ond S✓.rQ Company
Princeton, IN 47670-
E.SELLER S GRANTOR S
Gary W Welch Lori Welch
Srller 1- A'umr u> npymn on runveryvnae Jzumem Srllei� d� Name as uppevn om m�vewnre daument
5211 5 950 W 5271 S 950 W
Rddrrss (Nun. ber md SareQ AEdrtss (NUmbo and Sant)
Owensville, IN 47665 Ovrensville, IN 47665
cp�, s�e�e, o�e z�v eod�
F,�mail
Under penaltles of perjury, I hereby ceriify that this Sales Disclosure, [o [he best of my knowledge and beliet, is [rue, rorrect
a�npA complete as required by law and'i's prepared in accordance with IC 6-1.1-5.5, "Re� t Property Sales Disclosure Act".
���y\�,�� ,�.j,�� � � `�\ � _ � ��� A i �-XJ�JC,('�
Signa[� urea/.Se��rrl Si,qnamreaf5efle�
C�t���-t Lt/ l.tic LCf� �-%�1,,,, ��Y'� V.�e,IC� I- l�-I'�
YERS GRA EES -APPWCATIONFORPROPERTYTAX - LITEMSTHATAPPLY
Bryan M Smith l7, Amber Smith
euyrrl�ROm mrsomm�vevuntedavmen: . �mme�nnredaavmen(
11165 W 1000 S 11165 W 1000 S
dddress(.VUmbe� and5•vn�J ddCress (Number and Stree��
Poseyville, IN 47633- Poseyville, IN 47633
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THE SALES OISCLOSURE fORN MAY BE USEO TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPENTY. I�ENTIF1' dLL OF THOSE THAT APPLY.
5'ES VO COVDITION YES NO CO\DITIOY
x❑ ❑ ]. Will chis property be the buyer's primary Q ❑ 3. Homesread
residence? Provide complete address of primary � � 4. Solar Hnergy Heating/Cooling Sys[em
residence, induding count}': � �
527t S 950w 5.4Vind Power Device
AAdrru(h'umMrondS«eeoJ � Q 6. Hydroelectric Power Device
O.vensville, IN 47665 GIBSON � � �. Geo[hermal Energy Hearing/Cooling Device
Ciry, Sm:e ZIP Code Counry
� � 2. Does the buyer have a hmnestead in Indiana m be � � $• Is [his property a resideniial rental property?
vacated for this residence? If yes, provide ❑ Q y� 4Vould you like [o receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide conmct information
induding county: below. Please see insCructions%r mare in%rmation.
M1btavaila6le in a!1 counties.)
Addrns (A'um6er and Svret) -7
Ciry, SmteYlY Cade Counry " l° -/ 7-o�/ �1 Qa m �. 7 � 9 �� I
Rimxrv pmpe��' owna mr.ma name !'-mail
Under penalties o(perjury, I hereby certify that this Sales Disclosure, to the best of my know•ledge and belie(, is true, correc[
and complete as required by IaH•, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Nore:
Spouse informa[ion, Social Security and D�iver's License/Other numbers are not necessary i(no Homestead Deduction is
being filed.) n �
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P',�edLe,�alNameofBUy�er1 $ynOvr�.uH/DO/m'Yi
Socrol5etunryNumber Los[idigitso(Bu}'er2/SpauteDnver's Sm[e LastSDigltso(Sarial5ecunry
Liren.ce/1D/OthenVUmher �\'umAe� License/ID/O[herNmnher