HomeMy WebLinkAboutHomestead_MangesSUREFORM SDFID:
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neo.�ss�n�� T�c�oA.���,T,}TLE SERVICES. LLC
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EVANSVILLE. IN 47708
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EMPIRE INVESTMENT 6ROUP 11 C
Seller 1- Nome as appears m mnve�nnre datume��n[/)
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Seller 2� Name os appean om m�vn•anre dwummt
Addr� (Number and SvretJ
Ciry, Sm[e, and ZIP lode
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Under penalties of perjury, 1 hereby certify [hat [his Sales Disclosure, [o the best of my knowledge and belief, is true, correct
�pd comp lete as required by lal�,and is pre ared in accordance wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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Signamre o(Seller
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Buyer 2 - Name os
Ciry, Sm[e, and ZIPCade
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THE SALHS DISCLOSURE iORM PIA1' BE USED TO APPLY FOR CERTAIY DEDURIONS FOR THIS PROPERTI'. IDENTIFS' ALL OF THOSE THAT APPLY.
� � 1. \4'ill this property be the buyer's primary
residence? Provide complete address of primary
esidence, �luding county:
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Address Nu berond5vee[J
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Cint Smte ZIP Cade lounry
� � 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
complete address of residence being vacated,
induding county:
Addre6 (A'umber and SveetJ
Giry.SmteZlPfnde CounN
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3. Homes[ead
4. Solar Energy Heaang/Cooling System
5. Wind Power Devite
6. Hydroelectric Power Device
7. Geothermal Energy Hea[ing/Cooling Device
8. Is [his property a residential rental proper[y?
9. Would you like [o receive tax statements for this
property via e-mail? (Provide contact information
belaw. Please see rnstruc[ions�or more in%rma[ion.
NoCavaila6le in all counties.)
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Under penal[ies of perjury, 1 hereby cer[ify [hat [his Sales Disdosure, to [he bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
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