Homestead_TerpeningE.
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Ciry, Smu, andZlPCade Telephone
Seller I- Name as appeors on romeyanre documen[
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Seller 2- Name as appears om m�veyanre dxument
E-mail
410 EAST EVANS
Addrna(NUmberondSVeeQ Address(Numberand5veetJ
PRIN . TON IN 47670
E-mail Tele honeNumber E�mail
Under penal[ies of perjury, 1 hereby cer[ify that this Sales Disclosure, to the best of my knowledge and belief, is [rue, corred
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
natureo( ller Signaoireo/Seller
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F. BUYER S GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTfONS- IDENTtFYALL ITEMS THAT APPLY. _ -
JENNIFER L TERPENING
Buyer ]� Name as appears on rom�eyanre dorumm[ Buyer 2- Name as appevrs on mmryanre dacvment
8544 HANOVER DR
Addres(Nvm6erand5vee[J Address(NumberandStreetJ
Ciry. Smre. and ZIP Lode
,
THE SALFS DISCLOSURE FORM MAY BE USEU TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IOENTIFY ALL OF THOSE THAT APPLY.
�❑ 1. Will [his property be the buyer's primary
residence? Provide comple[e address of primary
^Or 1' 'r�e5d�e,n,c,e, �iqAcluding county:
( 10 W t / \�^'� I-'
�1�1%IC.Qrlidl-��� �N �"i�'JLi �lK7�Oh
Ciry,Sm¢ZI Code lounry
� � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county: .
Addrea (A'umber and Svee[J
Counry
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3. Homescead
4. Solar Energy Heatlng/Cooling System
� 5. Wind Power Device
� 6. Hydroelectric Power Device
� 7. Geo[hermal Energy Heatlng/Cooling De��ce
�� Is this property a residential rental proper[y?
Would you like to receive tax siatements for this
property via e-mail? (Provide contact informotion
below. Please see instructions for more informapon.
Not availa6le in all counties.)
�i � i � rI � I � � �
Under penal[ies of perjury, 1 hereby cer[ify that this Sales Disclosure, to the 6est of my knowledge and belief, is true, torrect
and comple[e as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Ac[". [Note:
Spouse iRforma[ion�ocial Security and Driver's License/Other numbers are no[ necessary if no Homes[ead DeducUion is
Signom�e o%Buyer2/Spouse
Pnn[ed Legal Name ofBvyer 2/Spoute
Sl9n Date (HM/00/IlYlj
Las[Sdigi[so�Buyer]Oriver's 5tate LastSDiglfso�5ocia15ecunryNum6er I Las[Sdigitsof8uyer?/SpouseDnver's Stale LastSD('girsofSacialSecunty
li[ense/lD/O[he�Number Number Litense/lD/OtherNumber