HomeMy WebLinkAboutHomestead_BirchI\DIA�A S.�LES DISCLOSURF. FOR\I SDF ID SDO ID 733443 Page 2
D. i,2EPARGR -
Samantha L Cutsinger
�R'eyara o(fAe Sc/es �iulpsvre Form Tltle
226 W. Broadvray Broadvray Title. Inc.
Ad1rm(NumDerandSUeeQ Compvny
Prince�on, IN 47670-
E. SELLER S GRANTOR S
Nancy A Harper Lester W. Harper 8 Nan�y A. Harper Revocable Living
$rller ]� Name es appmn an ionrqmae durument Seller2 � Name as aFG�rs om m�nyanae da'vmen�
P.O. Box 57
dd7reu (Number ood SveerJ ACCrrss (A'umber mCSarea)
Ft. Branch, IN 4764&
Ci.ryy Sro[q andLlPCOde Ciry, Smtr, nnd7.lP Code
E�mail Te�e oneNumWr E-mail
Under penalties o(perjury, 1 hereby certify Ihat this Sales Disdosure, to Ihe best of my knowledge and belief, is true, rorrect
d complete as requi ed by law, and 's pre ed in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Ac[".
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Si nmre er ) „� 9gnamrrof5eller
R.ri a� e�f l y� �S�e �
RANTEE S- A PLICATION FOR PROPERTY TA. CTIONS- IFY ALL ITEMS THAT APPLY
Isaac S BirU Sandra L Birch
Bu�erl�h'omen arsonronvewnaCO�vmen: u r2-NO peorsomm�vewnredavmm[
903 E. - Inu� 903 E. VJalnut
Addrea (A'umber andSUeet/ Address (Numbrr and Strrr�)
FL Branch, IN 4764& FL Branch, IN a764&
�Ciry.Srate, ortd "CIPCW.r CirySmu, and Z1PCade
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Tde houeNm:rber F�rnail itle hanehbmhri E�mail
THE SALES DISCLOSURE fOR,S� MAY BE USED TO APPLY FOR CERTAIN DEDURIONS fOH THIS PROPERTY. IDENTIF1' ALL OF TNOSE THAT APPLI'.
Y'ES VO COVpIT10N YES NO COVDITION
Q � 1. Will chis property be the buyer's primary Q � 3. Homestead
residence? Provide complete 2ddress of primary . �nergy Heating/Cooling Sys[em
residence, induding counq�:
25�0 w B00 S ❑ Q 5. �Vind Power Device
AAdren(NumberondSUre[) � Q 6. Hydroelectric Power Device
Fi. Branch, IN 47648 GIBSON � Q 7. Geothermal Energy Heacing/Cooling Device
Cin. Smte ZIP CoCe Caunry
❑x ❑ 2. Does the buyer have a homestead in Indiana to be � �$� �s this propern� a residential rental property?
vacaced for this residence? If yes, provide ❑ Q y� �Vould you like to receive tax statements for this
complete address of residence being vacared, property via e-mail? (Provide contact information
inciuding county: below. P(ease see instructions�or more in%rmotioa
903 E WALNUT Abt available in all counfies.)
�ddress (Num6er ar.d Svee) 1
F�. BranCh, IN 47648 GIBSON ��/�.���QQ -�QQ. � � Qa( �
Ciry, Smtr ZfP CoEe Connry
I'rimarypmprrry mmo ror.mrr namr 6'-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to [he best of my knoH•ledge and belief, is true, correct
and complete as required by law, and is prepared in acwrdance with IC 6-11-5.5, "Real Proper[y Sales Disclosure Ac[". [Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deductlon is
being filed.) �
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