HomeMy WebLinkAboutHomestead_WallINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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CHRISTINA M LENFERS CLOSING AGENT
Preparerof Ne Sal6 Disclosure form Title
�07 MAIN ST STE 107 BOSSE TITLE
� Addrm (Nom6erand StrtttJ Campany
EVANSVILLEIN 47708 (
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NICHOLAS S BELOAT
Selfer 1- Nam<as appears on ronveyanre dacvmm[ Seller 2- Name as appears om m�veynnreOacummt
1764 EAST TAFT TOWN RD
Addres (NUmberand SutttJ Addrm (Number and Svee[J
PRINCETON IN 47670
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Under penalties of perjury, l hereby ertify tha[ [his Sales Disclosure, [o the best of my knowledge and belief, is true, correc[
and complete as r uired t11� law, a is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disdosure Act".
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PRINCETON IN 47670
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN UEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TNAT APPLY.
YFS NO CO\DRION YFS NO COFDITI04
QJ ❑ 1. Will this proper[y be the buyer's primary Q ❑ 3. Homes[ead
residence? Provide complete address of primary � O 4. Solar Energy Hea[ing/Cooling System
3 3q W si�n� in�:ng couniy:
SD ❑ ❑✓ 5. Wind Power Device
�(Numberan sPeey '�j�\ �7 ^� ❑ Q✓ 6. Hydroelectric Power Device
� ��� y` — � `� (� � �Sa� ❑ Q 7. Geothermal Energy Heating/Cooling Device
Ciry. Smre ZIP LWe Counry
� �✓ 2. Does the buyer have a homestead in Indiana [o be ❑ ❑� 8. Is this property a residentlal rental property?
vacated for this residence? Ifyes, provide ❑ ❑✓ 9. Would you like to receive tax s[atemenLS for this
complete address of residence being vacated, property via e-mail? (Provide contact informotion
including county: below. Please see instructions for more in%rmation.
Not available in all counaes.)
Address (Num6er and Svn[J
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Under penaldes of perjury, I hereby cerdfy [ha[ this Sales Disclosure, [o [he best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse informadon, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduction is
being f d.) ' 1 �`,�/
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