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HomeMy WebLinkAboutHomestead_Dehaven-� LANAC. W+RPER P: .e�erno/tii�5ab UNar�e:w- 19 hM! 4 iY. STREET ST= $Of ,�..�a�2.��,�:,.,w EVANSVILLE iusnoa cy.sca:.+avwe Under penaltles of perjurv, l 6ereby cectih• rhai tLis Salec and'vompltte az req���}d by lax�, and is prepared in accy TNESAIES �L410�LRE FUCY M:.T BE OSFO TOAVPCYF00. CEATM' DmURIOM I.IY�i.I thit propertybe [he aridentt? hoL4Le mm� 70L11 PTL'e SeRVICES LLC .,�,<-, 912<'o81'A85 ,-m-.+a.a::n-la £..-m � to the bert .r.=�sz� � . ��.n ❑ o ❑ Z.Doesmeb�yerhaveahom:ssxcinlndia.a:obe ❑ ❑ �rdatedfo:thisruidwce?Ifyes,pro�ide '� comple:e address of residence being va�ced, iadudir.g covnry: a:e.aM_�.,r,,.,emRy cn.soxaacoa� ;e,-y e belief, is trve, corrM � Disdosure att'. �17� i�0 Hearine/Cooling Srs2em i.ltiind Powe: Decitt 6. Hvdroelzcsic Pawer Devitt 7. Geother�al Eze�gv Heatlne/Cooting De:ice B.IS this pmpertya residentlal rencal propem�? 9. li'ould �vu like co receive Cix sraremevGS for �is property �a rmail? (Provide con;oc informa�on celow. Please see insa-�cnans(or mare information iVa[ o�vilable in a11 rountlez) -V3 1�