HomeMy WebLinkAboutHomestead_Walker (12)INDIANA
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LANA C.HARPER CLOSER
Preparero(NeSalaDitt'IosureForm Title
TOTAL TITLE SERVICES. LLC
Campvny
EVANSVILLE IN 47708
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FSTATE OF WII MA 1 KFI I EY
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Selfer 2- Name as appmrs om m�veyanre dorvmen[
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Ciry, Sm[S o�d ZIP Lode
Under penalties of perjury, t hereby certify that [his Sales Disclosure, [o the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Ac[".
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DERRICK LEE WALKER
Bvyer ]!- NameC as appears m ronvryonre d/orvment Buyer 2- Nome as aOpeors on ronveyanre dorummt
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THE SALES OISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
�� 1. Will this property be [he buyer's primary
residence? Provide complete address of primary
re nce, induding county:
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Grysm�e P�me Counry
❑ 2. Does the buyer have a homestead in Indiana [o be
vacated for this residence? Ifyes, provide
complete address of residence being vacated,
induding county:
and SveetJ
Ciry.Smre ZIPCode
� ❑ 3. Homestead
� d4. Solar Energy Heating/Cooling System
❑ �S. Wind Power Device
❑ � 6. Hydroelectric Power Device
❑ �7. Geothermal Energy Heating/Cooling Device
❑ ��. Is this property a residentlal ren[al proper[y?
❑ J 9. Would you like to receive Wac statements for this
property via e-mail? (Provide contoct informo[ion
below. Please see instructions for more informapon.
Not available in all rounties.)
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P!1'marvOrooerNOwq¢r ronld[t name E-mail
Under penalties of perjury, 1 hereby certify [hat this Sales Disclosure, [o the bes[ of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
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Pnnred I,egal h'ame o(Bvytr 2/Spouse
Last 5 digi6 ofBuyer 2/Spouse Ori�
Num6er License/ID/OtherNum6er
Sign Date (MN/DD/YYYYf
Store LastSDigiaofSociaiSecurity