HomeMy WebLinkAboutHomestead_Lamey (26)INDIA�.�SALES DISCLOSUREFOR\1 SDFID SDOID 1396540 Page2
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SteDhanie Miller doser
Vrepore�ofthrSalesOkdosureFOrm 75tfe
8711 W Hvry 66 Firsf Advantage Title
AdRres (NUmDer and So-ee(]
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iE'SECCER S GRi1VTOR�S �__ .
Timothy L Kammerer
Se1)er }- Namr as apµna on mrtvtyvnm docvmm[ Sellrr 2- Namr as oppevrs on �me�nnce doevmen[
6500 Meinert Rd
Addres (NUmDer ond Sveer) AEdrcss (Num6er ond Sare[)
Lynville, IN 47679-
iele hnneNUmber E-mn/l
Under penaltles of perjury, 1 hereby certify tha[ this Sales Disclosure, [o the bes[ of my knowledge and belief, is true, wrrec[
and tomplete as required by law, and is prepared in accordance wi[h IC 64.1-5.5, "Real Proper[y Sales Disclosure Att".
SignoNreo/SAirr 5{gna[u�eo(SAler
�:F.��BOYERS'GRANTEES�=�APP[:IGATIONiFOR��PROP.ERTY,TAX�D6DUGTI0NS=IDENTIFYALL`�ITEMS�THATAPPLYX�.,-: �: �.� —
Matthew G Lamey
Buym 1� Namens appevrs an mme�wce dotument Buyer 2- Name as appmrs am m�veyanre dxumm[
77904 South 200 East
Addrea (Number ond SUeeQ Address (.\'vmberand SvrrQ
Haubstadt, IN 47639-
Tele honeNumha E-mall
THE S.LLES DISCLOSUftE iOPM MA5' BE USED TO APPLI' FOR CERTAI4 DEDURIONS FOfl TNIS PROPERTY. IOEhTIFV ALL Oi THOSE TFIAT APPLY.
1'FS NO CONDITION Y'ES NO COYDITION
�x � 1. Witl ihis property be the buyer's primary �X ❑ 3. Homestead
residence? Provide complete address of primary � � 4, Solar Energy Heating/Cooling System
residence,indudingcounty: � �
17904 SOUTH 200 EAST 5. Wind Power Device
Address(h'om6erend5trea) ❑ Q 6. Hydroelectric Power Device
Huabsladt, IN a7639 NOT APPLICABLE � � 7. Geo[hermal Energy Heatlng/Cooling Device
Ciry, Smre IIPCode Counry
�� 2. Does [he buyer have a homestead in Indiana to be � 0 8. �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9� Would you like to receive tax statements for [his
complete address of residence heing vacated, property via e-mail? (Provide contoct in%rmntion
induding tounty: below. Please see instructions for more information.,
Not availa6le rn all counties.J
Address C%'�mber aM Stn<t) �5
Ciry.SmleLPCode ry a'�-a 3-�9 .�60 OO' Vp� �' O
Coun
Pnmery pmpertywnermnmctnome E-mvil
Under penaltles of perjury, 1 hereby certify that this Sales Disclosure, to [he best of my knowledge and helief, is true,�correct
and comple[e as required by law, and is prepared in accordance with IC 6•1.13.5, "Real Property Sales Disclosure Ac[". (No[e:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homes[ead Deducdon is
being filed.)
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LastSdigiGSOfBuyerlDriver't Sm[e Las[SDigiao(Social5ecurityNumber Las[Sd(qiaojBuyer2/SpauseDrive/s Sm[e Las[SD(qitso�5ocialSecunty
License/ID/OtherNumbe� Number License/ID/OtherNumber
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