HomeMy WebLinkAboutHomestead_Bennett.Preparer of NeSalu D'¢domre Farm
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� Add�us(NumberandSVelQ
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Seller ]- Name as appmrs on conve}mnre documen[
3oy W. Sl�ru�e
City.
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Company
E-mail
Se11er2 - Name as appears on ronveyantt dacvmm[
Addrus (A'umber andSVee[)
Ciry. Smre. and ZIP Code
Under penal[ies of perjury, t hereby cer[ify [ha[ [his Sales Disclosure, [o [he bes[ of my knowledge and belief, is [rue, correct
and comple[e as required b law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
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SignaNre o(Self�/ Signaare ofSeller
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TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Buyer ]� Name as appr6rs an ronveyanm dacumenl
MAY BH lISED TO dPPLY FOR CEftTAI,Y
�J ❑ 1. N'ill this property be the buyer's pripia�
residence? Provide complete addre�s of pn
residence, including county:
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Ad t(h'umberand5veet) �
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Ciry, Smte ZIP Lode Counry
❑ � 2. Does the buyer have a homestead in Indiana to be
vaca[ed for [his residence? If yes, provide
comple[e address of residence being vaca[ed,
including county:
Address (NUmber and5vee[)
Ciry, Sm[e ZIPCode Counry
Buyer 2- Name as uppears on ronveyance document
Address (A'umberand Sveet)
Ciry, Smte, and Z/PCode
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THdT APPLY.
3. Homestead
4 Solar EnergyJlea ' g/Cooling System
S. Wind Po�ver Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residen[ial rental property?
9. Would you like to receive tax statements for this
property via e-mail? (Provide contoct informotion
6elow. Please see instructions for more infarmation.
Not available in all counties.)
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PnmarvorooerNawnerconmcmame E-mall
Under penalties of perjury, 1 hereby certify [ha[ [his Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance wi[h IC 64.1-5.5, "Real Proper[y Sales Disdosure AcP'. (No[e:
Spouse informa[ion, Social Security and Driver's License/Other numbers are no[ necessary i( no Homestead Deducdon is
being 1 .)
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Las[SdigiCSO(Buyer7Dnver's 5[a[e Las[SDigiGtafSociolSecurityNum6er
License/!D/Offier Number
Pnnred Legal Name of Buyrr 2/Spouse
Sign Dah (MH/OD/YYY1j
LastSdigi[so(Buyer2/SpouseDriver's State LastSDigicso(SxialSecunry
Number License/ID/O[herNumber