HomeMy WebLinkAboutHomestead_KueberIYDU�ASALES DISCIASURE FORJI SDF ID SDO ID 937484 paoe �
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7202 N. Shadeland Avenue Hocker & Associates
Addrea(;lumDerand5veetJ [omyany
Indianapolis, IN 46250-
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E: SECCER $ � GRANTOR $ _ z"` '' .�f �`=,_r _ y J� r� 1" ' ..f.:'', '�'"� <' 4 �
The Secretary of HUD
Seller 1-Nameas opymrs w mnve}vnae dwvmm< Selleri - Nome ae ayymn m ronveyance docummt
40 Marietta SVeet
Addrrs (Numbrr ondStrnrJ Addras (Number andSVeeQ
Atlanta, GA 30303-
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`� de penalties f p rjury, l hereby certlfy [ha[ this Sales Disclosure, [o [he best of my knowledge and belief, is true, correc[
a Id c plete as eq ired 6y law, ap�'�j�rjg g�p�r�p�dance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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E�BUYER RANTEE S �-.APPGICATION�FORPROPERTYTtUDEDUCTIONS-:IDENTIFY�AGLITEMSTHATAPPLY_.'. � �
Christopher S Kueber
8vyer I� Name u appmrton ronveyance Cawment Buyer2 � Name us vppears on mrtveyanre doaument
9674 County Road 800 S
Addrecs (A'um6erand5trzer) Addreu (Number vnd5veet)
Ovrensville, IN 47665-
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THE SALFS DISCLOSURE FORA1 MAY BE USED TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IUENTIFY ALL OF THOSE THAT APPLI'.
YE$ NO CONDITIOV YES NO C08UITION
XQ ❑ 1. Will [his property be the buyer's primary Q � 3. Homestead
residence? Provide complete address of primary � Q 4. Solar Energy Heating/Cooling System
residence, including counry: S. Wind Power Device
9674 COUNN ROAD B00 S ❑ 0
ACdress(NUmberandSnetQ � Q 6. Hydroelectric Power Device
Owensville, IN a7665 GIBSON � � �. Geothermal Energy Heating/Cooling Device
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❑� 2. Does [he buyer have a homestead in Indiana to be � �$� Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ 0 9� Would you like to receive [ax statements for this
mmplete address of residence being vaca[ed, property via e-mail? (Provide contact informapon
including county: below. Please see rnstrucdons for more information.
Not avai(able in all counties.)
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LYry.Sm¢ZfPCoc'e County
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Under penal[ies of perjury, I hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and tomple[e as required by law, and is prepared in accordance with IC 64.1•5.5, "Real Property Sales Disclosure Att". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduc[ion is
being filed.)
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