HomeMy WebLinkAboutHomestead_HarpeINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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Rav M. Drulev Attomev No. 4759-26
Preparer o(Ne Sala Disdarvre Farm 75Ne
505 N. Church Street. PO Box 146 Law OKce of Rav M. Drulev
Address[Numberand5treet) Compony
Fort Branch. IN 47648
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�E�SELI:ER S'.CRANTOR S iK .. r.4 Y.,.?.._..A,f.$`.��.r.�,.r�._-:;fP:?i �.c� ��:F-- 4r.:.�� �'.3�i�..�"?" ,� �:�:i�'"� 4Y:+.�:�'',..�..y:.
Jeremv S. Thmm�san
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Under penal[ies of perjury, I hereby certify that this Sales Disclosure, to [he bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Act".
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Jeremv S. Thomoson 9/24/2012
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605 E. locust Street
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Fort Branch. IN 47648
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THE SALFS DISCLOSURE F02M MAY BE USED TO APPLY FOR CERTAIY UEOURIOYS FOR THIS PROPERTY. IDENTIFY ALL OF TNOSE THAT APPLY.
YES NO COYDRIOY I Y
Q � 1. Will this property be [he buyer's primary �✓ � 3. Homes[ead
residence? Provide comple[e address of primary � 4. Solar Energy Heating/Cooling System
residence, including county:
505 N Second Street ❑ ❑✓ 5. Wind Power Device
Add�as(Numberand5treet) ❑ Q 6. Hydroelectric Power Device
Owensville. IN 47665 Gibson � Q 7. Geothermal Energy Hea[ing/Cooling Device
liry, Smre ZIFCode lounry
� ✓Q 2. Does the buyer have a homestead in Indiana to be � ❑� $• �s this proper[y a residential rental property?
vaca[ed for this residence? If yes, provide ❑ ❑� 9� Would you like to receive tax s[a[ements for [his
comple[e address of residence being vacated, proper[y via e-mail? (Provide contactinformodon
including county: 6elow. Pfease see instructions for mare infarmadon.
�/ Not available in all counties.)
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Under penalties of perjury, I hereby certify [ha[ [his Sales Disclosure, [o [he best of my knowledge and belief, is true, wrrec[
and complete as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Ac[". (Note:
Spouse informatlon, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
bein fil .)
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