HomeMy WebLinkAboutHomestead_SimmonsRav M. Diulev
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� I 505 N. CAurch StreeC P-O Box 146
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Fart Branch IN 47648
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Under penalties of per�ury, l hereby certify that t41s Sales Disclosure, to the best of my knowledge and bei[e(, is true, correct
and compp�lete as requl d by la y and is prepared in accordance wi[h IC 6•1.1-5.5, "Re"al� Propert,iy 5 1 5 Di�closure An'.
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THE SALES DLSOOSUAE i0R1/ MAY BE USED TO APPLf i0R CERTAIN UEDUCTIONS i0A
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❑ 1. LYill this property be the buyer's primary
residence? Providecompleteaddressof{
` residence, including county:
2. Does Ihe buyer have a homestead in Indiana [o be
vacated (or this residencel Ifyes, provide
complete address ofresidente being racated,
includ(ng county:
AEdntt (NvmDV cxd ypee[)
Buycl. Name m apynrzon ron�eyontt daeummt
AdExn (NumEer and Sbret)
aMDPCode
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3. Homescead
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Ener� HeaUng/Cooling Device
8. Is this property a residential renal property?
9. Would you like W receive tax sta[emen[s for this
properry via e-mail? (Provtde conmct informotlon
below. Please see instrvcdons for mo�e informotion.
Not awila6le !n afl coundes)
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Under peualtles of perJury, l hereby cectlfy [ha[ this Sales Disclosure, to the best ot my knowledge and bellef, ls trve, correct
and tomplete as requlred by law, and !s prepared ln accordance wlth IC 6•1.1-5.5.'Real Property Sales Disdosure Att'. (Note:
Spouse Informatlon, Sodal Security and Drivets Ltcense/Other numbers are not necessary If no Homestead Deductton is
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