Homestead_Shawgo�� �
0"udosurt Form
Attarnev No.4759-26
rtle
"_505 N. Church SUeet. P O Box 146 Law OKce of Rav M Drulev
AAdrw(NUmberandSbeet) �m��},
Fort Branch. IN 47648
�enisa F Kramar Succaccnr Tnictra
Sefler 1- Name as appears on ronve}vn�e doevment
200 Hawthomr Dr
Addras (HUmber and Saar)
Princetnn IN 47R70
Gry, Smte, ond LPCOde
Shcer 2� M1'ame ar appeon on conveyunce documm[
Addren(NumberondSVett)
Ciry, Srutq andLPCode
Under penal[ies of perjury, l hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and cemple[e �requi�d by law, and is prepare� in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
,lU 1
SignaNreoJSeller
2
AdAras
�- / /" _
TNE SALES DISCIASUAE FORM MAY 6E USEU TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
❑�/ ❑ i. Will this property be [he buyer's primary �
residence? Provide complete address of primary
residente, including county:
aee.as (Ilumwaneso-eet)
Fort Branch. IN 47648 Gibson
liry, SNtt LPCode Counry
Q✓ ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vaca[ed,
induding county:
_320 W. Mulbem Street
Addras [Number anOStreel)
Princeton,IN 47670 Gibson
firy, Sma LPCode Counry
Q✓ ❑ 3. Homestead
❑ �
❑ �
❑ �
❑ ❑
Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Bnergy Hea[ing/Cooling Device
8. Is this property a residen[ial renWl proper[y?
9. Would you like to receive tax statements for Chis
property via e-mail? (Provide contact informadon
below. Please see instrucdons jor more in%rmadon.
No[ availa6le in all counties)
�� -�9 i� ��3_ � �i9-oa�
ronmctname
E-mail
Under penalties of perjury, I hereby certify that [his Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as requtred by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/0[her numbers ar� not necessary if no Homestead Dedutdon is
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SignoNre o(@uyerl/Spouse
SpouseDriver's Smte LastSDigivojSocialSxuriry
Lirente/ID/OfherNum6er Number License/ID/OtherNumber