HomeMy WebLinkAboutHomestead_Reed (8)Repare�aJNe Safa DBdaswe Form
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Reaional Manaoer
Title
Direct Title Insurance Aoencv. Inc
Campany
Evansville. IN 47715
E-mail
Selle� I- Name as appeors am m�veyonce dxvmen[ Seller2 - Name as oppmrs on ronvryantt dooumen[
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Under penalties of perjury, 1�rreby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and comple[e as''requ' ,y��nd is prepared in accordance wi[h IC 6Q.1-S.S, "Real Property Sales Disclosure Ac[".
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THE SALFS DISdOSURE FORM MAY BE USED TO APPLY FOR CFRT.V Y DEDURIONS
❑./ ❑ 1. Will [his property be [he buyer's primary
� residence? Provide comple[e address of F
residence, induding county:
408 So ih Gi6son Sireet
Addr¢r (Number an d SbeetJ
Princeton IN 47670 Gibson
Ciry,SmuZIPCode Counry
� Q 2. Does [he buyer have a homestead in Indiana [o be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Numberand Strce[J
Counry
Q� 3. Homestead
APPLY.
Headng/Cooling Sys[em
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� �✓ 5. Wind Power Device
� ❑✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geo[hermal Energy Headng/Cooling Device
� �✓ 8. Is this property a residentlal rental property?
❑ ❑✓ 9. Would you like to receive ta�c s[atemenfs for [his
proper[y via e-mail? (Provide contact informatlon
6elow. Please see ins[ructions for more informadon.
Not availa6le in all coundes.)
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Onder penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and wmplete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deduction is
being fi/led.] /
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