HomeMy WebLinkAboutHomestead_BarbourJQIANA SALES DISCLOSURE FORM SDF ID:
.PREPARER
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Prepnrero/(he5a18 Diulomre Form
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Add (h'um6erandStrreQ
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Ciry, Smte, andLPCade
SELLER S GRANTOR S
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Seller]�NOmea rsonronve�vnceduvment
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Addrey umberandSVee[)
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Telephone Number
Name os appmrs m mm�eyanre darument
Addras(NumberandSVxt)
Liry. Srate. andZlPCode
E-mail
Under penalties of perjury, 1 hereby cer[i(y Ihat [his Sales Disclosure, [o the bes[ of my knowledge and belief, is true, correct
and co plete as requir by law, and is prepared in accordance with tC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Signa(m�reof5eller � (� D� % Signamreof5eller
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- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL
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Buyv 2-Nameasappevrsonronveyanmdorument
Address (Number ondStree[)
Lity. Smte, and ZIPCOde
THE SALFS DISdOSURE FORM NAI' BE USED TO APPLY FOR CERTAIY DEDUCfI01S FOR THIS PROPeRII'. IDHNTIFY ALL OF THOSE THAT dPPLY.
�❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, induding county:
Addras (,V umbel and Street)
Ciry, Sm�e Z/PCOde Counry
❑ �" 2. Does [he buyer have a homestead in Indiana to be
vacated for [his residence? Ifyes, provide
complete address of residence being vaca[ed,
induding county: �
Ciry, Sm¢ ZIPCWe
Counry
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❑ 3. Homestead
Q' 4. Solar Energy Heating/Cooling System
� S. Wind Power Device
�' 6. Hydroelectric Power Device
i0" 7. Geochermal Energy Heating/Cooling Device
Q' 8. Is this proper[y a residen[ial rental property?
I� 9. Would you like to receive taY statements for this
proper ' � rovide contad informa[ion
e ow. Please see ins[ructions or
, No[ availa6le in all counties.)
a�-��+-�g 303-0oo_e�-�a7
I'n tname �1
Under penalties of perjury, t hereby certify [ha[ this Sales Disdosure, [o [he bes[ of my knowledge and belief, is true, cortec[
and complete as required by law, and is prepared in accordance �vi[h IC 6-11-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) ,
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Pnn[M I,egal Name o(Buyn ] Sign Dau (MM/DO/YYY1)
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SocialSeruntyNum6er
LiCente/ID/Other Num6er
SignaN�e a(Buye,7/Spouse
PnnmdLegal A'omea(Buyc7/Spouse
Las[SdigicsofBuyer2/SpouseDriver's Smte
Number License/lD/OtherNumber
Sign Da:e (MM/00/YYYYJ
of Sonal Secunry
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