HomeMy WebLinkAboutHomestead_Brengman0
�
�3�1`�
Under
and m
l
, �� r� `tlG7U
`'�c z,'f,r� � � i
��
;((y, that this Sales Disclosure, to the bes[ of my
prepared in accordance wlth IC 6d1-5.5, ."Re:
-a�-
7 t�70
OEUUCIt0Y5 GORTHIS P0.0PEIlM1'. lDES'�'�fV,LLL0iiH05=' TNATAPPLY.
I._ .._ .............,
�❑ 1. Will this property be the buyer's p: inary
resi ce? Provide mmple:e address of primary
1 ^Gresie e,i�udin�un�.: .pr.
�! /�
U I] 2. Does the buye: have a homestead in Indiana [o be
va�atedforthisresidence? Ifyes,p:ovide
complete address of residence being vxcated, .
indudir.g cour.ry:
.,ee.�lM �x�:-as�n
❑:;.spaz�vcw. �CPLry
Is true, correc[
sure Ac[".
T� ❑ 3. Homes[ead
?j 4. Solar Ener� H_adng/Coolin� System
❑ i 5. Wind Power De�ite�
j � 6. Hydroelectric Power Device
,�ryJ 7. Geothermal Ener� Neating/Ccoling Device
IJ • 8. (s this p:operty a residenval rer,ul p: ooerty?
� 9. Would you like to receive cax s�ete:nen6 for [his
propercy vfa e-mai17 (Provide conmci informadon
6elaw. Pleose see instructlons for more informatlan.
Not availa6le in all counpes.)
q'l -/o?-G� =/03 -oU�o?o?oS Gbt�
Under penaltles of perJury, l hereby certify that this Sales Disclosure, to the bes[ of my Imox•ledge and belief, is true, torrett
and complete as required by lae•, and is prepared 1n accardance wi[h IC 6-11->.5, "Real Property Sales Disdosure Act'. (Note:
Spouselo�fo�7rmation.SorialSecuriTyandDdversLicense/Othernumbe a n/o�ye�)essaryifnoHomesteadDeductlanis
� b`n8 fileJ( O/."� `_ I tl il 1 N/.n /a/1n..2 �
1 �
}
Nun. 6a
-�a
Y
��