HomeMy WebLinkAboutHomestead_ShoultzID:
Don Dowell Man
,Preparrr ofthe Sala DWasum Form 11de
��, :. •ncsni r"yef R080 Direct Title Insurance Agency, Inc
Addrest(NumberandStreet) - Direct company
Evansville IN 47715
E -mall
.:77tj
-Name
and ZIP Code
document
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and [e as required
/ by law, and is prepared in accordance with IC 6- 1.1.5.5, "Real Property Sales Disclosure Act ".
r/ i
conveyance document
Buyer 2
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.
❑ 1. Will this property be the buyer's primary
residence? Provide complete address of pri
r sldence including county:
City, State ZIP Code I County
❑ ❑/2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number and Street)
bry, State Z/P Code County
THAT APPLY.
❑ 3. Homestead
4. Solar Ener ng /Cooling System
LJ LJ' 6. Hydroelectric Power Device
❑ a7. Geothermal Energy Heating /Cooling Device
❑ D 8. Is this property a residential rental property?
❑ a 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information.
N Cava' ble in all counties.) LC 421
...... y owner mnmer name E -mail
Under penalties of perjury, 1 hereby certify that this 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 irmation, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
.rinsed Legal Name o /Buyer ] Sign Dam (RU/rD�D/YVl'1')
Last 5 digits of Buyer I Driver's State Last 5 Digits of Social Security Number
License /ID /Other Number
Srgn-fure o /Buyer2 /Spoor
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Prinmdlegol Name a Bvyer2/Spaure
cf5ocial Security
Number License /ID /Other Number