HomeMy WebLinkAboutHomestead_Barrett (5)1\DIAN.� SALES DISCLOSURE FOR\I SDF ID SDO ID 467222 Page 2
D.PREPARER
Samantha Cutsinger
�Aeparer a(�he Soles Oudosure Fortn iide
226 W. Broadv2V B�oadway Title. Inc.
AJdras(A'am6trondSUen) Compan}�
Princeton, IN 47674
Emcil
E. SELLER S GFLINTOR S �
Joshua M Hoefling
Srller 1� Nvme os appevn an cvn.qvme Jorument Sellrr2 - Nume ¢s uppevrsw mmeyvnre drcvment
203 5. VJillard
ACdress(NumberandStraQ ACdrtsr(NUmbrrand5mee[)
Ft. Branch,IN 4764&
Ci.y�, S:ata and ZIP Code Ciry, Sma, nnd ZIPGode
E�muil Tele hvneNumber E-nai/
Under penal[ies of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belie(, is true, correct
and plete as re uired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Sign ureoJ411er A'iA^amrrof5eller
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F. BUYER S GRAN?EE - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Timothy L Barrett
Buye�l�Namensop mm�veyanredrxvmen[ Buyer2�NUmevsoppmrsonmmewn[eda'�rment
�705AE-L s�5t.
Aour ... ' � _ Address(Numberand5tree[/
F�. Branch, IN 4764&
�Ciry. Smh. und ZIPCuQe Ciry, Smte, and 21P Cafe
E-moil TGe haneNUmber E-mai7
THESALESDISCLOSUREFORMMAYBEUSEOTOAPPLYFORCERTdINDEDUCf10N5F ROPERTV.IDEYTIFYALLOF TNATAPPLY.
VES YO COYDITION 1'ES NO CO\DITIOY
Q ❑ 1. Wi11 this properry be the buyer's p' ary ❑X ❑ 3. Homestead
residence? Provide romplete ad ess of prima 4, So gy Heating/Cooling System
residence, induding caunty: � Q 5. bVind Power Device
203 S. WILLP,RD
Addrets(NUmb¢rcndSRee�) ❑ Q 6. Hydroelectric Power Device
F�. Branch, IN 47648 GIBSON � � 7, Geothermal F.nergy Heatlng/Cooling Device
Ciry.SmuZIPCoCe Caunry �
�� 2. Does Ihe buyer have a homestead in Indiana [o be � � 8� �s [his property a residential rental propercy.
vacated for this residence? If yes, provide ❑ � 9. 4Vould you like to receive tax statements for this
complece address of residence being vacated, property via e-mail? (Provide contnc[ information
induding county: below. Plensesee instrucoons for more in%rmation.
M1bt available in all countles.)
Address(Num6rrand5vttt) � a ��j /��/
� �9���3_a�. C/ ��
Ciry.Sm[eZlPCade Counry
lkimaryProperryowner ror.mvt nvme 6' mail
Under penalties o(perjury, I hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6d.1-5.5, "Real Property Sales Disclosure Act". (NOte:
Spouse information, Social Security and Driver's License/O[her numbers are no[ necessary if no Homes[ead Deduction is
being filed.)
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T�mo+hv L. f�arrett ob/o�t/do+o
PnmedLegofNom v(Buye�t S�nDO[e�MH/00/YnT1 PnnredLrgal.vameo/Buyer7/Spou>e $qnOC:efn+1/DD/iYn�
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SotiolSecunryNumber LastSdigicsa(Buyer2/SpouseUnveri Smre Los15Digi[so�SodolSetunry
License/!0/O[herNumber Number Litense/lD/O[her,VUm6er