HomeMy WebLinkAboutHomestead_Rodgers (2)REGIONAL MANAGER
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_507 N. GREEN RNER RD. DIRECT TITLE INSURANCE AGENCY
Addsm (Ncm2eraed Street) ��r'�nY
EVAN5VILLE.IN477'IS
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Dnder penalda of perjury, [ hereby certify that this Sales Disclosure, to the best of my Imowledge and belief, is true, corred
aad co�yplete as r uired by law, and is prepared in accordaace witLJC 6-1.1-5.5, "Real Prope Sales Disdosure Act".
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T�ESAI�S ��SQOSURE PORM MAY BE USkD TOAP7LY FOR �TAQ: DEDUC170YS
1. Wil] this property be the bvyer's prim
residence? Provide complete address
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❑� 2 Daes the buyer have a homestead in indiana to be
vacated for this residence? Ifyes, provide
completc address of residence being vacated.
including rnunty:
Add`m (NumbcranSSo-ett)
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❑ 3. Homestead
�j 4. Solar Enerc
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APPLY.
5. Wind Power Device
6. Hydroelectric Power Device
7. GeoUiermal Energ� Heaung/Coo}ing Device
& Is this property a residenaal rental property?
❑ Q 9. Would you like to receive �c sratemenu for this
properryvia e-mail? (Provide conmctinformotlon
below. Please see instructiou for more information.
Not avoilable in all connaes)
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.lAMES . DGERS
Under penalties of perjury, I Lereby certify tLat this Sales Disdosure, to the best of my Imowledge and belief, is true, correct
aad complete as required by law, and is prepared in accordance with [C 6-1.1-5.5, °Real Property Sales Disclosure Act". (Note:
Spouse information, Social Securiry and Drivers License/OtLer numbers are not necesrary if no Homestead Deduaion is
bring filed.
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