HomeMy WebLinkAboutHomestead_Grubb (2)INUTANA SALES UISCLUSUKE FUKM SUF IU: Pa e 2
„D.PREPARER ':, , ,�� . = -
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Jennv Sherrill Customer Service Reo.
Preparer o(Uu Sa1es Dixlosure Farm Ti4e
6525 East 82nd Street. Suite 110 Statewide Title Comoanv. Inc.
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E-mail
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E::SELLER S GRANTOR S � � . , , . - - "' T • _ ` , "
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Seller 1- Nome as appears on conveyvnre docvmenl Seller 2- Name as appean on conveyanre document
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AEdress (Number and Streer) Address (Numberand Streeq
Carrollton. TX 75010
Ciry, Srare, andZlPCade Ciry, Smte, and ZIP Code
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Under naldes of perjury, l hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is hve, correct
an com ete as required by law, and is prepared in accordance �vith IC 6-1.1-5.5, "Reai Property Sales Disclosure Act".
ynamre o(Seller S(qnamre o(Seller
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,F. GRANTEE S': ION FOR PROEERTY,TAXbEDUCT10N5-:IDENTIFX AGL ITE6iS THAT;APPLt:' _ E� _
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TNE SALES DISCLOSURE FOMf p1AY BE USED TO APPLY FOR CERT.11.�' DEDUCf10\S FOR TNIS PROPERTY. IDEYflFY ALL OF THOSE THAT APPLY.
YES NO CO\DR109 I Y ' TION
❑ 1. 4Vill [his proper[y be the buyer's primary ❑ 3. Homes ad
residence? Provide complete address of primary 4. Solar Energy Hea[ing/Cooling Sys[em
esid nce, i cluding coupty: � �' S. Wind Power Device
�23 �as�- s�-�.+c. S� - ,�/ .
re�ss(Num6e andstreeq ' f ❑ u 6. HydroelectrSc Power Device
n�.(�l� . 1 h �-1 `� V� l� �"�1 �i� ❑ [� 7. Geothermal Energy Heating/Cooling Device
Ory mreZlPCode Counry
❑ 2. Does the buyer have a homestead in Indiana co be � �,..�/$• �s [his property a residential ren[al property?
vacated for this residence? liyes, provide ❑ fd 9. Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact informatlon
J{�cludi�jg cAunty_: below. Please see instructions for more in%armadon.
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Ad ers(Num6erand5vee
�rin �� �r, �ll1��70 �--,i �scs� ot (o -/a - 0 7 - � °.3 - aop. a/ �-Od8
City, Smte LPCode Caunry
Pn'marvproperryownercanmctname E�mail
Under penalties of perjury,l hereby certify that this Sales Disclosure, to the best of my lmowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance �vi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein filed.)
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