HomeMy WebLinkAboutHomestead_SteeleI\DIA\A•SALES DISCLOSURE FOR�I
PREPARER
Samantha Cutsinger
IReparerof[he5c/rsDudosv�eFOrm
226 W. Broadway
Addreo' /Nvmber and Suect)
Ory.Srare. o.MLPCOde
E. SELLER(S)/GRr1NTOR(S)
Jus�in K Deal
$rifer ]� Nume os npyeon am m�veynn<r Jocument
s�es w aso s
Bdd�ess (Nuntier vnd S[reeQ
Ovmnsville, IN 47665
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SUF ID $DO ID 468597 Page 2
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Broativray Tiile. Inc.
Company
Telephone;fumber E�mail
Amy L Deal
Sd7rr2 � Nume as appevrson ronvewnae dorument
s�es w aso s
Addrrts (NVmberand SveeQ
Owensville. IN 47665
Under penalties of perjury, I hereby certify tha[ [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
ary�-4omple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Luke M Steele
�By�er ] � Nume as
�69i.W 450 S
iry. Smte, anC:
7
ALL ITEMS�THAT APPLY
mnvewntedxummt
AdEras (Number and Street)
Sullivan, IN 47882-7785
CIry.Smte. and ZIFCode
►a�Q
Rlrvhone Numbei E�mail
TNE SALES OISCLOSURE FORA1 MAY BE IISED TO APPLY FOP CERTAIN DEDUCI'IONS FOP THIS PROPERTY. IDENTIFY e�LL OF THOSE THAT APPLY.
x� � 1. Will [his properry be the buyer's primary
residence? Provide complete address of primary
residence, induding counp�:
6796 W 450 S
AAdress (Number md S:rze[f
Wuensville, IN 47665 GIBSON
Ciry, Smu ZIP CaCe Counry
Q ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for chis residence? If yes, provide
complete address of residence being vacated,
induding count}':
4691 W 450 S
Address (Rumbo ar,d5vrr:)
Sullivan, IN 47885 GIBSON
Ciry.Sm[eZ!?Cade Counry
�Qx � 3. Homestead
�4. r nergy Heating/Cooling System
��5. 6Vind Power Device
❑ Q 6. Hydroelectric Po�ver Device
� Q 7. Geothermal Energy Heating/Cooling Device
� Q 8. Is this properry a resideniial rental proper[y?
❑ Q 9. bVould you like to receive tax statemencs for this
properry via e-mail? (Provide conmct information
below. Pfease see instructions(or more in(ormaoon.
Not available i II counties.)
�G -io-a3�-�-Qd��.�a- D�a�
PnmvryD�C«6'ownerconmaname E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, [o [he best o(my knoNdedge and belief, is [rue, comect
and comple[e as required b}• law•, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and D�1ver's License/0[her nu ers are not necessary if no Homestead Deduction is
being filed.) � 0
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