HomeMy WebLinkAboutHomestead_Brewer�3�ta
1\DIANAS.U.F,SDISCLOSUREFORdI SDFID SDOm 808550
D.PREPARCR
Samantha CWSinqer
IPreparer of Iht Scfes Dudosvre Fann Tide
226 W. Broadway Broadvray Title, Inc.
IAddrm(NumbaoMSUenj Compony
Page 2
Princeton, IN 4�670.
E-mc0
Michael C Dewig
$rller 1� Name ux npyeun on <onve�nme domment
104 N. Lincoln S�.
Address (Numher and Sueer/
Donald R Devrig
Srlln�l � Nume m nppeon m<vnveyvnre dorvment
104 N. Lincoln St.
AEdrta (A'um6er anASVee[)
FL Branch, IN 476a& rt. �srancn, in aicatt-
Under penalties of perjurv, I hereby certi(y tha[ this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as requir� a is pre ared in accordance with I�(�§\ 1.1-5.5. "Real Pro erty es Disclosure AcC.
Sionanveo/ Ifer � Signomreofiell� � � �—
'I��
Justin L Brewer
2120 Ashton Court Apt 32
Addrers (Nvmber and StreetJ
Princelon, IN 47674
Ciry.Sm[r. and ZIPCMe
THE SALES OISCLOSURE FORM MAY BE USED TO APPLY i0R CERTAIN
Q ❑ 1. 4Vill chis properry be the buyer's primary
residence? Provide complete address o( �
residence, induding county:
104 N. LINCOW ST.
AACras (A'um6er and 5[rett)
Ft. Branch,IN 47648 GIBSON
Ciry, Svre ZIPCode Counry
�� 2. Does the bu}•er have a homestead in Indiana to be
vacated for this residence? I(yes, provide
comple[e address of residence being vacated,
induding county:
Address /NUmber anE SvttQ
Ciry.Sm[eZ/PCade
Covnry
APPLY
N �uinn
�E�rr?-4eTe-at4�mrs an rnmcynnre dotument
2120 Ashton Court
AdCrm (�YUmber ond Srrn�)
PrincetOn, IN 47674
Ciry. Sm•s, and ].IP Code
IDENTIFY ALL Oi THOSEiHAT dPPL}'.
Qx � 3. Homestead
-� � " °°'---' ergy Heating/Cooling System
��.a� �
� Q 5. Wind Power Device
� Q 6. Hydraelecvic Po�ver Device
� Q 7. Geothermal F.nergy Heating/Cooling Device
� � 8. Is this property a residen[ial rental property?
� Q 9. 4Vould you like [o receive tax swtements for this
proper[y via e-mail? (Provide contncc informacion
below. Please see instructfons for more in(ormation.
�bt available in afl counties.)
o3G-/9-�� �3-000.�-Ga-dal�
ror.mctnamr
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belie(, is [rue, cortec[
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5,'Real Property Sales Disclosure Act". (Note:
Spou e informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
bei fil d.)�
L .�
ig rvrtofBCyerf S�gnamre �er1/Spouse .
us-�� � �. piYe wrn� ��o �13�.2G 1,� E, Cc (� � n n �
PnntNlz9�l.YOmeo(9rry�eri SgnUare�u.v�p}�M�y� PnnledL-INmeofBu}•er?/Spouse �g�o�eew.�inonm
�� ; _�
Sociel5ecunry
Litente/ID/OlherNmnber NumAer Lirense/ID/O[he�Numher