HomeMy WebLinkAboutHomestead_Seibert (3)FORM SDFID:
Form
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Title
E�mall
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Addretr�(NumD�tron SC�e �, Address(humberand5treet)
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Under pe s of perju t hereby certlfy that this Sales Disclosure, to the best of my knowledge and belief, is W e, correct
and pl e as requir�by�and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act".
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-APPLICATFQN FOR PROPERTY TAX
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TNE SALFS DISCLOSURE FORM MAY BE USED TO APPLY i0R CERTAIN DEDURIONS FOP
�❑ 1. Will this property be [he buyer's prima�
residence? Provide comple[e address of prima
residence, intluding county:
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Addr (NvmboandStrntJ
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❑ �. Does the buyer have a homes[ead in Indiana [o be
vacated for this residence? If yes, provide
complete address af residence being vaca[ed,
including county:
Addrrss (Number cnd Strre[J
Gry. 5mtt ZIP [odr [ovnry
S(qnaNrto/Seller
ALL
Buyes I� Name as appmrs on comtyonce do[vmen[
Add2ss (Nvmbtr and SnntJ
CIry.Smtt, andZlP Code
Q ❑ 3. Homestead
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APPLY.
System
5. Wind Power Device
6. Hydroelec[ric Power Device
7. Geo[hermal Ener� Headng/Cooling Device
8. Is this property a residentlal renUl property?
9. Would you like to receive taat statements for [his
properry via e-mail? (Provide mntatt injormadon
below. Please see instruc[ions%r more in%rma[ion.
Nat availab e in Ja�ll coundes.) {n-/ �
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Under penaldes of perjury, i hereby cerdfy tha[ this Sales Disclosure, [o the bes[ of my knowledge and belief, is We, correc[
and complete as required by law, and is prepared in accordance wi[b IC 6-1.1-5.5, "Real Property Sales Disclosure Act'. (Note:
Spouse informadon, Social5ecurity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
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ast5digiOO�Buyer]Driver's 5[a[e LastSDigiUO(Social5ecunryNumbcr
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Number License/ID/OtherNumber