HomeMy WebLinkAboutHomestead_Tennes1\DIA\A SALES DISCLOSURE FORJI
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D.PREPARGR. - . .� � � - � . . . . . . - .
Kimbe A Levris OKCe Manager
Reyvrer oJthe Scles DBdasure Fom Title
226 W. Broadway Broadvray Title, Inc.
Addren (NUmLer ond AieelJ Compvny
Princeton. IN 47670-
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E. SELLER S GRANTOR S � � -
Aaron Jost
Seiler 1- Name as apyevrs an mmeynnce dornmmt Se(ler 2� Nume m uppevn�on cvnvewn�'e do�'umrnt
773 McCreary St.
Address (Number vnd SaeetJ Addrttt (A'umbrr and5vret)
Fort Branch, IN 4764&
Ci��, S[aa, and ZIPCod< Ciry. Sm[q nnAZIP Code
E�mail Tele orreNUmGrr E�muil
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to [he best of my knowledge and belie(, is We, wrrec[
and com }ete as re ' ed by law, and is prepared in accordance �vith IC 6-1.1-5.5, "Real Property Sales Disclosure AcC.
ignamre afS '" r Signamrr aJSeller
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F � R S� GRA� - S-APPLICATION-FORPROPERTYT TIONS-IDENTI �. LITEMS�THATAFPLY
Martin S. Tennes II Cami L. Dunkel
eu}•erl-Nameluappearso nvewnredrcvmen: Buver2-NOme . ncanvnnnceCacument
7202 N. Wa 2 N. Walnut St.
Addres(KumberandSVeetJ Addras(Num e ondSvnQ
Mt. Carmel, IL 62863- Mt. Cartnel. IL 62863
�Ciry. Smte. and ZIPCaCe Ciry,.Lnte, and LPCode
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THESALFSOISCIASUREFORNMAYBEUSEDTOAPPLYFORCERTANDEDURIOYSFORTHISPROP 'ALLOLTNOSETNATAPPLY.
1'FS KO CUYDRIOY 1'FS NO CORDITIOY
Q ❑ 1. 4Vill chis properry be [he buyer's primary ❑X ❑ 3. Homestead
residence? Provide complete address of pri a eating/Cooling System
residence, induding counry: �
905 S. CENTER ST. 5. Wind Power Device
Mdres(NUmberand5veeq ❑ 6. Hydroelectric Power Device
Fort eranch, IN a7648 GIBSON � � 7. Geothermal Energy Heatlno/Cooling Device
Ciry, Smre ZIP CaCe Counry.
�� 2. Does the buyer have a homesiead in Indiana to be � �$� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9� Would vou like to receive tax statemena for this
complete address of residence being vacated, properry via e-mail? (Provide contnct in(ormation
including county: befow. Pleosesee instructions%r more information.
hbt availa6le in all counties.) ^��
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Pn'marypmperry mmer car.mal nume E�mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, [o the best of my knowledge and belie(, is true, correct
and complete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) � /1 ` .�/��
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