HomeMy WebLinkAboutHomestead_Dyer (6)S DI
pvrero(rhe5ala Disdosure Form
6 w. Broadwav
Addrot (Nvmbej aed Stree�)
Princeton. IN 47670
City, SmK and7JPfnde
Harrod Development LLC
Shcvl l- Name as appears om m�vryontt documen[
600 E Stra�n
Addrm (NUmber and Stm[)
Ft. Branch, ZN 47648
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Under penal[ies of perju
and complete as rec�uire
Nameasappevrson
�nsville
Broadway Title, Inc.
Campany
E-moil
2- Name os oppears w com�eyancedocummt
AdEreu (Number and Street)
Ciry, Smt4 and ZIP lode
1 hereby cer[ify tha[ this Sales Disclosure, to [he bes[ of my knowledge and belief, is [rue, correc[
'yTaly, and is prepared in atcordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
THE SALES DISCLOSURE FORM MAV BE USED TO APPLY FOR CERTAIY DEDURIONS FOR
Qx � 1. Will this property be the buyer's primary \
residence? Provide complete address of primary
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Ciq',SmteZlPCode � lounn
� Q 2. Does the buyer have a homestead in Indiana [o be
vacatedforthisresidence? Ifyes,provide
comple[e address of residence being vaca[ed,
induding county:
o�aso-Kq
Ciry,SmuZIPCode
SgnawreoJSelle�
Buyal2 � Name as appears on canvryanre dotvmen[
Addr¢s(NUmberond
[iry, Smre, and ZIPCode
THAT APPLY.
Q � 3. Homestead
� x 4. Solar Energy Heabng/Cooling System
� Q S. Wind Power Device
� Q 6. Hydroelectric Power Device
� � 7. Geo[hermal Energy Heabng/Cooling Device
� Q 8. Is ihis property a residenaal renral property?
� Q 9. Would you like to receive tac sta[emencs for this
property via e-mail? (Provide conCact informopon
below. Please see instructions for more information.
Not availa6le in all counties.J
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�.;�...,.., �.,�,...rv �w�a...��mrr �ame Email
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Under penal[ies o(perjury, 1 hereby certify tha[ this Sales Disclosure, to [he best of my knowledge and belief, is [rue, corred
and comple[e as required by law, and is prepared in accordance wi[h 1C 6-1.1-5.5, "Real Property Sales Disdosure Ad". (Note:
Spouse informa[ion, Social Security and Driver's License/O[her numbers are no[ necessary if no Homestead Deducdon is
L"5 i.L ji �/ 1/ l�/LUlU
SOtialSecuntyNum6er
License/ID/Orher Num6er
Signomre o/Buyer2/Spouse
PnnredLegalh'ameo/Buyc2/Spovse SignDace(MM/OD/YYt'h
Las[SdigiCSOjBuyer2/SpouseDnver's 5[ate LastSDigi[s
Num6er License/ID/OlherNumber