HomeMy WebLinkAboutHomestead_Willis INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Jason Spindler Attorney
Pei-pony vf:Ins Sales Disclosure Faro: Tale
112 N. Main Street Spindler Law .__
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Cass,Shalt and ZIPCode Telephone:VEnnhrr Emrn!
E:S'ELLER[S!IYGiFtYN,T,OR[Sj'I WF `.. all;; 3 -. " _e•{,, .-R- ... :I-VHE agi _ _-
Mike Gomez
Seller I.Norite as appears on mmepmm dorornrr.: I Seller_'•A'amr e:appears no Macey nen drevmrnt
350 S 180E
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:dims(.'Ivmter and Street) .Adores j:lumber and.Street)
Princeton, IN 47670
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Telephone Number E-mail
Under penalties of perjury;.1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp to as reeqgquuiired by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
41-
.Crp::furt al Seller Signatum of Seller
Mike Gomez 05/14/2019 _
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'fHE SAWS DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS POR'I'1IIS PRO ' -- aOF THOSE THAT APPLY. May 152019
YES NO CONDITION -_ 1 YES NO CONDITION 11.. ni:."r'7i_
[-jj ❑ i.Will This property be the buyer's primary 2 ❑ 3. Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ii f , _--s,'?''-ir - _ - g/Cooling System
residence,including county:
211 S. Gibson St. ❑ 5 S. Wind Power Device
Marta plumber and Sinai) ❑ g 6. Hydroelectric Power Device
Princeton, IN 47670 ❑ 2 7. Geothermal !Meru Heating/Cooling Device
My,Sta:tllP rime moan
❑ Q 2.Does the buyer have a homestead imindiana to be ❑ Q 8. Is this property a residential rental property?
vacated for this residence? If yes,provide u 12 9. Would you.like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: O1^^ ^ - .fstructions for more information.
Not available in all coon
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M.dras(Number and Sure!) 10
rips Sicts ZIPCode Cuunly 26-12-07-401-007�8-028
I Pr:. rt awrercunruet name E.nmf
Last 5 digits ofthrycr l Driver's State Last s Digits of Social Security Number Lust.5 digits of gayer 2/Spouse Drivr's State Last 5 Digits ofSatin!5eruri':
License/ID/Other Number Number License/ID/Other Number