HomeMy WebLinkAboutHomestead_AltgilbersSALES DISCLOSURE FORM
Form
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Aeeres(A'um6erand5treey IVIHL IIILtStHVIGES, LLC Campany
19 N. W. FOURTH ST.. STE 500
Ciry,Smre,mdZlPCade EVANSVILLE, IN 47708 TelephoneNumber
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Seller2 - Name os oppears on ronveyance documen[
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Under penalties of perjury, t hereby certlfy Ihat [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disclosure Act".
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THE SALES UISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN OEOUCfI0N5
VES NO COADITION
� 1. Will this proper[y be the buyer's primary
Signamre o(Selle�
Buya 2� Name as oppears am m�veyanre docvment
Addr�(NVm6erondSVeaJ
Ciry, Smte, ond ZIPCode
IOENTIFY ALL OF TNOSSTHAT APPLY.
❑ 3.
residence? Prov�de complete address o nmary , o ar Energy Heating/Cooling System
r tlen e i d ' c un : � � 5. Wind Power Device
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�% �n�C a:� �d�ee��/^' �b�`` _�� ❑ � 6. Hydroelectric Power Device
i1 �� V ❑ � 7. Geo[hermal Ener� Heabng/Cooling Device
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❑ 2. Does the buyer have a homestead in Indiana to be � �$� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ � 9. Would you like to receive ta�c statements for [his
complete address of residence being vacated, property via e-mail? (Provide contact informatton
including county: below. Pleasesee instructions for more in(ormation.
Not available in all counties.J
Addreu (Number and5treet)
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Pn'mary0roperry owner ronmat name E-mail
Under penalties of perjury, 1 hereby cerUfy that this Sales Disclosure, to the best of my knowledge and belief, is We, correct
and comple[e as required by law, and is prepared in accordance with IC 6Q.1-5.5, "Real Property Sales Disclosure Ac[". (No[e:
Spouse inform [ion, Social5ecurity and Driver's License/0[her numbers are no[ necessary if no Homestead Deduction is
being file,�•) � , �r1 ,
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