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HomeMy WebLinkAboutHomestead_Wanke1\Dl.a\A SAI,ES DISCLOSURE FOR�I Reyarer o/ [he Scles Oudosv�e form 226 W Broadv(dy AJJrus (NumLer ond Sveet) Princetan, IN a7674 Cin, SIU[e, and LPCoEe SDFID SDOID 721123 Pagcl �. r,ur Broatlway Tiile. Inc. Camyony E-mail Jefi Caudill Srller 1� Nome os apyeon om m�ve�vnie drcumeu 9679 W 575 S Addras(NumberondSVreQ Ovrensville, IN 47665 Under and w [e�T.T; Srller2 � Nume os aFVea� ��onvewnre da'vment Addrtsx (NUmberondSVmt] Gry; Smre. nnA7.IPCaIe I hereby certi(y that this Sales Disclosure, to the best of my knowledge and belie(, is true, rorrec[ y Iaw, and IS prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". JdILC 0 1) � s�g�onre rs�,�e, TAX DEDUCTIONS-.IDENTI FY ACL ITEMS THAT APPLY uncennes,IN 47591- [iry.5mltandZlPfnEe ��/ � THE SALFS DISCLOSURE iORAI MhV BE USED TO APPLV FOR CERTd1.V DEDURIONS FOR x0 ❑ 1. Will chis property be[he buyer's primary residence? Provide complete address of prim residence, including munp�: 9701 WINYARD PLACE AAdress (A'um.ber cnd S:rmtJ Owensville, IN 47665 GIBSON [Iq: 5m[e ZIP [ode 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, induding county: ndd.rm /n�mn<. a„e s�re�� Ciry.SmuZIPCade Counry 8u�cr 2� Name us appeors om m�vnnnce da�umen[ AEdras /A'um6er and Srzee�) CiN. Slete. ond ZIPCa/e rd onen' •• PERTY.IDENTIF1'ALLOFTH THATAPPLY. VES ND COADITIOY ❑x ❑ 3. Homestead 4. Solar � � Heating/Cooling System �S�Wind Power Device ❑ Q 6. Hydroelectric Po�ver Device � Q 7. Geothermal Energy Heating/Cooling Device � Q 8. Is [his property a residential renial properry? � Q 9. 4Vould vou like to receive tax sta[ements for this property via e-mail? (Provide conmctinformation below. Plense see instruttions far more information. Not available in all cauntles.) . ovo. 2aa -a� !'-mail Under penalties otperjury, 1 hereby certi(y [ha[ this Sales Disclosure, to the best olmy knowledge and belie(, is true, correct and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Ac[". (Note: Spouse information, Social Security and Driver's License/Other num6ers are not necessary i(no Homestead Deductlon is being filed.) ��;.��-��--� F—. I.k��`w (1 S\�gnamreo(`B�y rl\ n ('� Signamreo/evver7/Spause l h:�`1'Ttlli�il[� lS. ��C.II�L /l—�i"�OI` PnnteALegoiNa.ralBuYV] SignOaufN�/�oM�'11 Pnn:MLe,qalNameo(Buye�7/Syouse SignOaref��N/DO/YYYf� � Las[SdigitsoJBuyer]Orrver's Sm[e License/ID/OtherNumber Last i Di9its o(Saciol Securiry fJUmher IN LastSdigi6o(Buyer2/SpouseDnver's Smte LanSDigifsafSonclSeturiry Numtrer License/!D/OtherNUmber