HomeMy WebLinkAboutHomestead_Brogan' ' s...--" : :-� <.�...::i �:.. s`�°':: , . -: _ .' .
CHRISTOPHER E. CARL SETTLEMENT AGENT �
� Preparero(theSalaDisdorureForm AUe
Addras (Numbe� and StreetJ
EXPERT TITLE SERVICES
Campany
EVANSVILLE. INDIANA 47708
E-mail
Sellerl-A'ameasappmrsonconv nredocument
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h'umber Email
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Under penalties of perjury, 1 hereby certify that [his Sales Distlosure, to the best of my knowledge and belief, is true, correct
and co plete as requ ed by law, and is prepared in accordance w�th C 6-1.1-S.S, " al Prope Sales Disclosure Act".
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Sjgnatur¢o/SrJler / / naNreafSeller � �
Bvyer I- Name as ap�n conveymce dxument
(A'umberandSbee[)
Sm[G and LPCode
E-mail
THE S1LFS DISCLOSURE FOFNt hITY BE USED TO APPLY FOR CERTAIY DEDURIOYS
Q � 1. Will [his properry be the buyer's primary �
residence? Provide complete address of primary
residence, including county:
1064 EAST TAFTOWN ROAD
Address (NUmber and Street)
PRI ETON INDIANA47670-8603 GIBSON
li ,StateZlPlade Counry
� Z. Does the buyer have a homes[ead in Indiana to be
vaca[ed for [his residence? Ifyes, provide
comple[e address of residence being vacated,
induding munty:
112 VERMONT
Addrm(NUmberand5aee[J '
PRINCETON. INDIANA 47670 GIBSON
Ciry, Smte ZIP lade Counry
euyer 2 -
Addrn's (Number and SveefJ
PRINCETON. INDIANA 47670-8603
Ciry, Smtg and ZIPCode
APPLY.
3. Homestead �
4. Solar Energy ing/Cooling System
U Wind Power Device
�6. Hydroelectric Power Device
❑ 7. Geothermal Ener� Heating/Cooling Device
� d 8. Is this property a residential rental property?
��9. Would you like to receive tax statemenrs for this
property via e-mail? (Provide contoct informotion
6elow. Please see instructions for more information.
Not available in I counties.) /`/T � A
d� -/a- o.T - c� �.y� �
SHANEE.BROGAN
ownercon[actname E-mail
Under penalties of perjury, 1 hereby cer[ify tha[ this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 64.L5.5, "Real Proper[y Sales Disclosure Ac[". (Note:
Spouse informa[ion, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deduction is
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