HomeMy WebLinkAboutHomestead_Lagneau (4)INDIAK71 SALES DISCLOSURE FORM SDF ID: Pa e 2
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DONALD R. DOWELL II REGIONAL MANAGER
�Preparer o(the Safes Disdosure Farm 75tle
i07 N. GREEN RIVER RD. DIRECT TITLE INSURANCE AGENCY INC.
.tddress(NUmberandSo-eet) Comyany
EVANSVILLE IN 47715
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and complete as re uir d by law, an is prepared in accordance with IC 6Q.1-S.S, "Real Property Sales Disclosure Act".
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4'ES NO CO%UITIOY YFS \O CO\DITIOY
� 1. Will this property be the buyer's primary � . Homestead
residence? Provide complete address of p'mary , nergy Heating/Cooling System
res� ce, induding county:
� n�a .0 � P.(i ac(/ ��A+..� � � S. Wind Power Device
ras(Num6er dsveery ❑ �6. Hydroelectric Power Device
e-( CL Z�'�- � � "�• � � 7, Geo[hermal Energy Heating/Cooling Device
Ciry,SmteZ' Code Counry
� 2. Does the buyer have a homestead in Indiana to be � � /g Is this property a residential rental proper[y?
vaca[ed for this residence? If yes, provide ❑ LIG y� Would you like [o receive [ax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact informo[ion
including county: below. Please see instructions for more informatlon.
Not avatla6le in all coundes.)
Address (NUm6er and SveetJ a� � // �� ��O f/� 6OO •- �/� � oa �
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Under penalties of perjury, 1 hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordante with IC 6-11-S.S, "Real Property Sales Disclosure Act". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
beyin/g).filed.)
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