HomeMy WebLinkAboutHomestead_Green (2)DEC-7-2012 02:32P FROM:GIBSON COLAJTY RSSESS 812 386 6757
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Und�i •penaltle of erjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is pve, correct
and��omptgte � r�utred by law, and is prepared in accordance with t�fj 64.1-5.5, "Real Property Sales Dtsclosure Act".
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IDENTIFY ALL
Buyer 2- Name ¢s appears an ronv(Vance doCVmml
Addreu (Num6er and SveetJ
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TNE SALPS DISLIA511A! FORM MM1Y BE USED TO APPLY FOR �RTN`7 DEDUR10N5 F0R TIIS YROPER7Y. I�ENTIPY ALL OF THOSE THAT APPCY.
� 1. Will this property be the buyer's
residence? Provide complete ad�
residence, including county:
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Ciry.StvaZIP e Wunry
� �Does the buyer have a homestead in Indiana ta be
vacated for this residence7 lfyes, provide
complete address of residence being vacated,
induding county:
Addrm (Nvm6er and5trre[)
City, Strtm ZtP Code Counry
❑ 3. Homescead
� � 5. Wind Pawer Device
❑ I�c — 6. Hydroelectric Power Device
� � 7. Geothermal Energy Heatlng/Cooling Device
❑ [� 8. Is this properry a residentlal renWl property?
�� 9. SNould you like to receive ta�c statements For this
property via e-mail? (Provide contect informoNon
6elow. Please see ins[ructlons for more in(ormatlon.
Not availa6le tn all tounties)
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Under penal[ies o(perjuty, I hereby certify that [his Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disctosure Act". (Note:
Spouse informadon, Social Securfty and Driver's License/Other num6ers are not necessary if no Homestead Deduction Is
being�.) '
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