HomeMy WebLinkAboutHomestead_Hensley (7)INUTANASALESUISCLOSUKEFUKM SUFIU: Pa e2
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DONALD R. DOWELL. II REGIONAL MANAGER �
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507 N. GREEN RIVER RD. DIRECT TITLE INC
AAdreu(NUm6erandSVeeQ Compony
EVANSVILLE. IN 47715
fE?�SEI:L'ER S� '.GRANTOR $ �'..��.��-�`'��z?--'°...?Y_� '. ���c.-�£'`�--?-F -°��='-'�..�-�,;--.z ri:ct:+�"�--...?._."i�` �. ?a':.rt���_'� �ui"'�.?ik�=v
Vr.ki L Townsend flk/a Vicki L Roorrs
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Under penalties of perjury, t hereby certi(y [hat this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
tomple as required by law, and is prepared in accordance with IC 6-1.1•S.S, "Real Property Sales Disclosure Act".
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Vcki L Townsend 09123l2010
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Q✓ ❑ 1. Will this property be the buyer's primary �✓ � 3. Homes[ea
residence? Provide complete address oFprima 4. Sola gy Heating/Cooling System
'`� residence, incly�ding county:
,21.0 S• �Ow�" J�' ❑ ❑✓ S.WindPowerDevice
.'dras(NUmbe a�a` So-KryT _ �I - ❑ ❑✓ 6. Hydroelectric Power Device
11CC�'Lr'1 ••�-i�� `�l(i�7 V D.1�'1 � � 7. Geothermal Energy Heating/Cooling Device
Ciry, Smce ZIPCode Counry
� � 2. Does the buyer have a homestead in indiana to be � 0$• �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q✓ 9. Would you like to receive tae statements for this
complete address of residence being vaca[ed, property via e-mail? (Provide contoct informa[ion
including county: 6elow. Please see instrucfions for more informadon.
� ^Not vail e in all counties.'C)��f
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Under penal[ies of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 64.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
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