HomeMy WebLinkAboutHomestead_WarrenSALES
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Evansville IN 47715
Qry, Smft, ond ZIPCade
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Direct TiUe Insurance Aoencv Inc
Campony
E-mall
Seller 2- Name os app�ors on rnnvryonce
Addrea (NUmher and Strec[)
City, Sta[G andLP fnde
certify tha[ this Sales Disclosure, to the best of my Imowledge and belief, is hve, correc[
�-es-�enared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ad".
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THE SALFS OISCLOSUR6 FORM MAY BE USEO TO MPLY FOR CERTAIY OEDUCffONS FOR THIS PROPER7Y. IDENTIFY ALL OF THOSE THAT MPLY.
�❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
n� OD res Fdenc mcluding county:
'1 W ��nt.i�.y( P12tL�
drecr(AUmEerund treet)
u��✓�SJ� l �Q -+-� �E�`� — �' bs m
CIry,S[oteZlP e Counry
❑ � Does the buyer have a homestead in Indiana to 6e
� �vacated for this residence? Ifyes, provide
complete address of residence being vacated,
including county:
Addr¢t
[iry, Smte
Caonry
°❑
�
❑
LJ 3. Homesiead ��r^ I� _
� 4. Solar Energy Heatlng/Cooling System
[� 5. Wind Power Devire
�' 6. Hydroelectric power Device
� 7. Geothermal Energy Heating/Cooling Device
�� Is this property a residential rental property?
9. Would you like to receive tax statemen[s for [his
o� ip— � 9�pu( el "E,e—o
er rn
�
., ������y properry owner cnnmR name E-mall
Under penaltles of perjury, I hereby certify tha[ this Sales Disclosure, to the besf of my ]mowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6d.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse info tion, Soc' I Security and Driver's License/Other numbers are no[ necessary if no Homes[ead Deduc[ion is
� filed. ��/_ _�. — I � .
SigneNre o/Buyer7/Spovie
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