HomeMy WebLinkAboutHomestead_Bane' INDIT\ASALESDISCLOSUREFOR\I SDFID SDOID 1383583 peeei
D.PREPARER
Shecari Southwell Morigage Loan Officer
Preparero/theSalaDiulosureform 11t1r
4401 Theater Drive Evansville Teachers FCU
Address(Numbrrand5veet) (,o�iyo�y
Evansville, IN 4771 S 812-477-9271 1168 ssouthwell@ettcu.org
dry, Sra¢, ond2(P fode ielrphone Number Email
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E.SELLER 5 GRANTOR S • �
Bradley D. Bane
Seller 1� Nomr as apyears on [onve�anm documen[ Srl/erT � Nnme ns appears an rnnveyonce dacumenr
PO Box 1112
AOdress(A'umbcraMSneet) Addrecs(Numberand50-nr)
Princeron, IN 47670.
Ciry, Srotq and ZIPCOde Ciq•. Smte. nnd ZIPCade
Tr/e oneNumber E-mail Tele honeNmnber E-moil
Under penalties of perjury, l hereby cer[ify tha[ this Sales Disclosure, to_ Ihe bes[ of my knowledge and belief, is [rue, corre[t
a omplete as r\equ�' by `law, and is prepared in accordance wilh IC 6-11-5.5,�"Real Property Sales Disclosure Ac[".
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F.BUYER S GRANTEE S -APPLICATIONFORPROPGRTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Brooke N. Bane
Bu rsonronveyanredooumm[ Buyer2-Nnmeasoppenrsomm�veyvn�edo[ument
2383 N. Benchmark Dr.
ddAress(NUmberondStreeQ AAdress(NUm6erand5veet]
Princeton, IN 47670-
Ciry.Smte, andZlPCOde Ciry, Smte. and ZIPCad<
Tele oneNambrr 6mn/1 Tefe honeNum6er E�mail
iHE SALES DISCIASUPE i00.M MAY BE fISED TO APPLY FON CERTAIN DEDURIONS fOR THIS PROPERTY. IDENTIN ALL OF THOSE THAT APPLY.
YFS NO CONDITION VFS ION
�x � 1. Will this property be the buyer's primary X 3. Homes
residence? Provide tomple[e address of primary � � 4. Solar Ener� fleacing/Cooling System
residence, including county: ❑ �
2383 N. BENCHMARK DR. S. Wind Power Device
Addrtss(NUmberanASrm[� ❑ Q 6. Hydroelectric Power Device
Princeton, IN 47670 GIBSON � � 7, Geo[hermal Energy Hea[ing/Cooling Device
Ciry.SmreZIP[ode Counry
❑� 2. Does the buyer have a homestead in Indiana to be � 0$• �s this property a residentiai rental property?
vaca[ed for this residence? Ifyes, proviAe ❑ Q 9� �Nould you like to receive ta�c statements For [his
complete address of residence being vaca[ed, property via e-mail? (Provide contact in(ormation
intluding couniy: belo�v. Please see instructions%r more in/'ormatian.
Not availnble in all counties.)
Addrm (A'um6er and SVtet)
a�O-os - 3,-ro�-oo�. 003-0�
Ciry,SmreIIPCaOe fnunry
Pnmaryproperry ownerrnnmot name E�mnil
Under penalties o(perjury, 1 hereby certify that Ihis Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, correct
and camplete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disciosure Act". (Note:
Spouse information, Social Security and Drivers License/O[her numbers are not necessary i(no Homes[ead Deduction is
be�e iled.)
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Pnnteif�alh'umeo/Bu)•eri 9gnDa[e(Mlf/OOM��'I PnnadLeynlKameoJ"BU}•er?/Spouse si9�uaaiu.rn���m�m
LastSdigitsojBuyerlDrivers State LastSDigiaofSorialSeruriryh'um6e� LastSdigimo(Buyer2/SpouseDm•er's Sm[e LastSDigiccojSocialSeninty
License/ID/OtherNum6er Number License/ID/OtherNum6er