Homestead_Arnett (3)a
1\DU\A $ALES DISCLOSUR! FON?I
Samantha Cutsinger
Reyarer o/Ne Scles Disclozure Farm
226 w. Broadvray
AJJrm (Numbrr mid Suee[]
Princeton, IN 47670.
Ci7.5tatt, m� Z/PCw;e
SDFIU
Nan�y Greubel Mahoney
Srqer 1� Rom¢ es appevn m�orrvnmie Jucumen�
7532 Broatlway St.
Address (Number anE STeeQ
Spnngfieltl, OH 45504-
tiry, s:aaa anez+P Cnde ,
SDOID 714328
Trtle
Page 2
Broadway Title. Inc.
Compony
E+nall
Sara� Greubel Allen
Srlfrr2 � Nume as uppean om m�vevun�e daument
6354 N Raceway Rd.
ACdnss (NUmber and Saeer�
�ndianapolis, IN 46234-
Ciry, Sm:e, nndZlP Code _/
/V i�
Under penalties of perjury, I hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and complete as required by law, and is pUrepare/,d in a�ce�or/d'an�c�e with IC 6-11-5.5L,, "Real�Pro•perty Sales Disclosure Act".
`1'1 ,tn.�.., f2�r.,L..�.L �Yld%.a'M-t-N % .�v ,/J'awx(�u.e-rs,a i � /J�e,�L.�C� Q�.i�tw
eu �6 —I"1-
Si,qnaa�reofieller
Saf0.- �r'LU 61 I �}�lel� 5"l7'�0 �
-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFYALL ITEMS THATAPPLY
fisry Arnett
9uyer /� A'ame ns vppmrs om m�veyvn[e Javmen;
1 Sirain St.
rrss (A'um5er and Strert/
h, IN 47648-
Ciry. Sm<e. art .� .. ..
Buyer? � Nameasappearson rnnvevnnaeCUrunen[
ACdrrss (Number anC Svert)
Ciry, Smce, and ZIPCm1e
THE SALFS DISCLOSURE FORAf MAY BE USEO TO APPLY FOR CERTAI.Y DEDUCI'IONS fOR THIS PROPERTY.
Qx ❑ 1. Will chis property be the buyer's primary
residence? Provide mmplete address of primary
residence, induding county:
402 E. VINE STREET
AAdrers (NUmber and S.ree[)
F�. Branch, IN 47648 GIBSON
Ciry, Smre ZIP CoCe Counry
�� ?. Does the buyer have a homesiead in Indiana ro be
vacaced for this residence? If yes, provide
complete address o( residence being vaca[ed,
including county:
ade.�lx�me�r o„a s;���:/
Ciry. Smte ZIP CNe
3. Homestead �
4. Solar Energy Heacing/Cooling System
� Q 5. �Vind Power Device
� Q 6. Hydroelectric Power Device
� Q 7. Geothermal F.nergy Heating/Cooling Device
� Q 8. Is this properry a residential rental property?
❑ Q 9. 4VOUld you like to receive tax statemen[s for this
properry via e-mail? (Provide contnct informotion
below. Plense see instrucdons for more informanon.
Abt available in all counties.J
a�-19-I 8-3 0 3-000. ar� -C�
Under penalties of perjury, I hereby certify that [his Sales Disclosure, [o the best o(my knowledge and belief, is true, wrrect
and complere as required by law, and is prepared in accordance with IC 641-5.5, "Real Proper[y Sales Disdosure Act". (Note:
Spouse information, Social Sec ity and Driver's Li nse/Other numbers are no[ necessary ilno Homes[ead Deduction is
being fil�� n ' jj � . . / �
Lasi 5 dlgits oj Buyer 1 Driver's
Licrose/ID/Other Number
S i7-
5[a[e LasfiDigitsaf5ocial5ecunryNumber
Agnamre a(Bvyrr7/Spouse
Pnn;eo Legal Name oJ Bu}Yr7/Spousr
Sign Dc[e (M.N/DD/1YYY1
LasfSoigicso(Buyer2/Spa¢seDriveri Sro.e LastSDigi[so(SociolSecunry
Rumbe� License/lD/O�herNUmher