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HomeMy WebLinkAboutHomestead_Meeks(1 l MIANA SALES DISCLOSURE FORM SDF m SDO m 720269 Par 2 - A'PR3MIER' ='dis' _art :' _ � »: � . _ - :. 3 Von M1ers SeDlement Coordinator A,,vJtberab Dbclmure Form nw - 290 Bilaw Drive SeOL"d LerKrffV services Ad*mfNmebr WM) fampmy - Rasbigl4 PA 15205 il .,JG4 . �GRA _a...r*,d— 4- [..�SY33 BENEFICIAL INDIANA INC. DIBIA BENEFICIAL MORTGAGE CO. .s rat- NOmmoppmrsmoanpaeresote amt Srav2- Nm,emapp®.m mvapeudatm,vrc 931 CORPORATE CENTER DRIVE Add,miNmdwaWSt ) AAbea W.Mbna toted - POMONA. CA 91768- 04& SMt.=d DPrade CIg43mK aWZa' fade E, l T Nameee e� Under penalties of perjury, t hereby certify that this Sales DLtclosure, to the best of my knowledge and belief, is true, correct and complete as required by law, and is prepared in accordance with IC 61.1- 5.5,'Real Property Sales Disclosure Act. SlpnvvaeyseBb sgmmegsebe. :Fr - RANIBE -:= APPLICATION FORPROPEM --. TAX -1 DUGAIONS ?;IDENTIF.YALL- rMMSTHATAPPiY Joshua K Meeks 9gvl. Namur mmryvae dommmt Deel Biow2- mmmappm mconwy �dbmment Add,eII (NrmberaWSVat) F . IN 47649 - Adl,es (iAmDv vWSnvq E -.fl T NamDC Ba+N TnEi41ESD6O.O50REFORMMAYeF MAPPLYFORCEMAa1D RTFa5 PR0PERrY. mFXmT TMTAFIMY, M NO CONDITION M NO CWI MON x❑ ❑ L Will this property be the buyers p - ary ❑x ❑ 3. Homestead residence? Provide completead ofp ary ❑ © 4. Solar Energy+ ng/Cooling System residence, including county: n ower Device 102 NORTH CROSS STREET ❑ © 6. Hydroelectric Power Device AdhM(N ®beraWSD.V Frandsoo, IN 47649 GIBSON ❑ © 7. Geothermal Energy Healing /CoolingDevice ❑ © & Is this property a residential rental property? ���� rAm,ry ❑ 2 Does the buyer have a homestead in Indiana to be vacated for this residence? if yes, provide ❑ © 9. Would you like to receive tax statements for this - complete address of residence being vacated, property via e- maiI7(Provide contact Information including county: below. Please see instructions for more information. Not available in all counties) �G o- / i- aO°• ado -4041 - /3 -d a Addrm phvbeaW Spay ary.S=2PCOd, Cowry Pdmay prvpv¢orw tmmtt aam f -cod Under penal ties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belie( is true, correct and complete as required by law, and is prepared in accordance with IC 6- 1.1- SS,'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 ffi S�am�^/BuW2 /Spume __tu_,r`eJ'B-uyerl ,�1� Rr��.>r //al^-L-yyead Narm/eofBayv1 nv5 Lm Sdghup/Buyw2lSpomr Driv 's Sam L=5D4;&of3odaISe riry Ikm IID10dF Number Numbrr lltrntt/1D/oNer Numbv