HomeMy WebLinkAboutHomestead_TateLaura Rininqer Closinq Coordinator
" Prepareroflhe5ales0isdosureForm Title
7820 Eaqle Crest Blvd Ste 201
��dre.ss (Number and Stree[)
ansville IN 47715
Ci%Smte, and ZlP Code
Nan ichardc
Seller 1- A'ame as appmrsam m�veyance docvment
AR70 Manchecter Cf
Add�es (Number and Street)
FvancvillP IN 47725
Ciry, Smte, and ZIP Code
Reqional Title Services. LLC
Cnmpany
David H Clements
Seller 2- Name asappamrs om m�veynnce dommen[
8620 Manchester Ct.
Addre.s (Number ond 5[reetJ
Liry, Smte, ond ZlP Cade
H-mail
. _ E-mail
Under penalties of perjury, l hereby certify that [his Sales Disclosure, [o the best
an plete as requi e by la and is prepared in accordance}+�ttrfC'G=1�5.!
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��l`C� i� 1.�R, n�l � � L f-
Clayton Tate
Buyer ]- Name as appears on ronve}•ance docvmen[
706 E. Park St.
Addres (Nu mber and 5[reetJ
Ft Bratnych IN 47648
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E-mail I TelephoneNumber
THE SALFS UISCLOSURE FORD1 MAY BE USED TO APPLY FOR CERTAI Y DEDUCfI0N5 FOR THIS PROPERTY. IDEMIFY ALL OF THOSE THAT APPLY.
iFS �O
�✓ � 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
405 W Warr'�k Si
Address (Number ond Street)
Owensville IN 47665 Gibson
liry, Sm[e ZIP Code Counry
��✓ 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
Addres(NumberondStreeQ
Ciry, Smte ZIP Code Counry
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3. Homestead
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residential renral property?
9. Would you like to receive tax statements for this
property via e-mail? (Provide contact informotion
6elow. Please see instructionsjor more injormation.
Not available in a7/ counties.)
Z(o-17-/a-ZO� 060,563-O2z
owner mnmtt name
E-maii
Under penalties of perjury, I hereby certify that [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informaOOn, Social Security and Driver's License/O[her numbers are not necessary if no Homestead DeducUOn is
Num6er I Lost 5 digiGS of Buyer 2/Spouse Driver's Smre Los[ 5 Digics ojSocial Securiry
License/1D/OtherNUmber Number License/ID/O[herNum6er