HomeMy WebLinkAboutHomestead_GloverI�'D44\AS,ILESDISCLOSUREFOR>I SDFID SDOID 935796 Pape2
D:�.FRE ARER � - � � - - � � - . � -
Peggy A. Conner Title Assistant
: Preparero/'thrSalaDiscla�vreFOrm Titic
101 N. Green River Road Suite 130 Trushvorthy Land T'dle Co. Inc.
Addres(Numberond5:ree9 Comporp•
Evansville, IN 47715
E. SELLER S GR.9NTOR S � � � - � - � � � -
Fava J. Allen
Seller 1- Rome cs ap➢ears on ronveynn[e dotumrrtt $¢Iler 2- Name as appeurs om m�rewnre dotvm^nt
2813 S. Martin Road
.4ddress (Numba and Stree:) Addrrs (flumber arNStreeQ
Loogootee, IN 47553-
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tUnder penalties of perjury, 1 hereby certify [hat this Sales Dis�losure, [o the best otmy knowledge and belief, is true, correc[
d wn p[e as required by law, a is prepared in accordance with IC 6-1.1-S.S, "Real Properq� Sales Disclosure A�t".
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F. BUYER S GRANTEE S�- APPLICATION FOR PROPERTl'TAX�DEDUCTIONS-JDENTIFY ALL ITEMS THAT APPLY �
Melanie 8. Glover
Byv 1- A'ame as appears on rom�qmnre dorummr Bimu d- Name as appmrs om m�vqvnre dm�mat
489 Bumbache Ave
Address @'umEa ond5�reer) Address (,VUmber ond Svee[J
Jasper, IN 4754&
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THE SALES DISCLOSURE FORM MAl' BE USED TO APPL}' FOR CERT,V Y DEDURIONS FOR TMIS PROPERTY. IDENI'IFY dLL OF THOSE THdT APPLI'.
YES YO COYDITION I 1'E$ �0 COVOITIOY
Q � 1. 4Nill this property be the buyer's priman= �X � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling Sys[em
residence,includingcounry: ❑ �
903 S. ROBIN STREET 5. Wind Power Decice
Address(Numberand5tree[J ❑ Q 6. Hydroelectric Power Device
Princeton, IN a7670 GIBSON � � 7, Geo[hermal Ener� Heating/Cooling Device
Cig•.SmcellPCade Coun9•
�� 2. Does the buyer have a homestead in Indiana to be � �$� Is this propem� a residential rental property?
varated for this residence? If yes, provide ❑ � 9� Would you like to receive tax statemenis for chis
complete address of residence being vacated, property via e-mail? (Provide contact informotion
includiog counry: � below. Pleasesee instructions for more infarmadon.
Not available in al( counties.)
Addros(A'umLrrandSlree:f � + _ /� —/�./� / OQO Q� � �� ,.,/
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Ciq•, Smre Z17Cade Coun.y
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Under penalries of perjury, I hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and complete as requimd by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social5ecuri[q and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
being iled.J '
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