Homestead_EppersonFOAM
Kristine Wilson �ordinator
Pnporer aJ[he Sokt Discbsvre Fnrm T'�e
aiv.rurou rc aa sune ibU Investors TiUecoro � �
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Under p s� erjury, I hereby certlfy that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and c et ed by law, and is pr�pared ' i accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act'.
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THE SALFS DISQOSUAE FOMt A/AY B^c USEV TO APPLY FOR CERTAfY DEDUC7i0\S
❑✓ ❑ 1. �Nill this property be the buyer's.primary
residence? Provide compiete address of pri
residence, includin� counry: .
_� �3L w. �azr Aot �vw.�
.t ddress (Numbu and SU�t)
�Princeton. Indiana 47670 Gibson
!7r� SmteZlPCode Coun.y
❑ 0✓ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? Ifyes, provide
complete address of residence being vaca[ed,
including county:
_ 214 W Walnut Street
.t,idras (NUmbrr arN srm�)
Princeton. Indiana 47670 - Gibson
ctqc Smre LP Code Counry
Princeton �Indiana47670 � � �-
Ciry, SNtG and ZIPCade -
7FY ALL OF
❑✓ � Q- 3.Homestead- � �. . . _. �
,/ � 4. Solar Fn g/Cooling System
✓ _ . _._. . -
� _ � . � S. 4Vind Power Device � � �
❑ ❑✓ 6. Hydroelectric Power Device .
❑ 0✓ 7. Geothermal Energy Heating/Cooling Device
❑ Q✓ 8. Is this property a residential rental property?
❑ Q 9. Would you like to receive taic statementr for this
�-- property via e-maif? (Provide conWCt in/'ormatiort
6elow. Ptease see insbvctlons for more informadon.
Not available in all counties.)
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and bellef, is true, correct
and complete as required by law, auil is prepared in acwrdance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Drivers License/Other numbers are not necessary if no Homes[ead Deduction is
being fil _
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