HomeMy WebLinkAboutHomestead_Gilliland. � ' � ES DISCLOSURE FOR�I SD� ID 26-2009-1000348 �� Page 2
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�'rCAREN ROGERS HOCKER & ASSOCIATES CLOSER
Yreynrer oJ'�hr Sulrs Uuaioaure F'orm Tide
' 7202 NORTH SHADELAND AVENUE HOCKER & ASSOqATES
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I�\'DIANAPO�IS, IN 47670 (
Cin�. Sm:e. and7lP Ca(e Teleplmne A'umber 6mai!
�THE SECRETARY OP HOUSING AND URBAN DEVELOPMENT
Se!(rr -\'mnr ae npprevx on eam�rrance Ranmrm .k•Re� - Nmne m� uppeun on oonrernncr Jxumem
=0 IdARIETTA DRNE
drhlrcaa (Abmbe� unJSveeq drW�ear (A'e�mber m�d 5)real
ATLANTA, GA 30303
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Jnder enalties of w�c. I herebc certify ch:�t this Sales Disclosure, ro the best of mc kno�vledge :md belie(. is rrue, correct and
o1mp te as requir b' la«', and is prepared in accordance �rith IC 6-1.7-�.5, "Real Properh� Sales Disclosure,acY'.
1--�� ��. n HOCKER 8 ASSOCIATES �
PRINCETON, IN 47670 �
Cirv, S+are, mdLP Cade
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umbn E-rnuil
D TO APPL\' FOR CERT:V N
r I. \Vill this propem be the bu�•efs primarv rzsidence'-' Provide complete(
zddress of pnman� residence, incladino caunro: �
i050 SOU7H OLD SR 65
Pr1mrJ,vmne jSeller Sign�a�e(.ilif/OD�}}'}Yj
e'�n rr - h'a�ne ar apyems on rorrez�m�re Aoru rnt
.Idfress �.45�mber anAS�reerl
Cint Aurr, nnd ZlP Cale
TAephme:\'um6er ., maif
�C'I'I O\S FOR TI I IS PROPGRTI'. I D E\TI F1' ,U.1,
� 3. Ilomestead
. .. nerey Heatine/Coolice System
r, S. \1'ind Power Deeice
.9ddrns ,/.�5imber ond Areerl
PRINCETON, IN 47670 Gibson r� 6. Hydrceleciric Power Device �
aro.5mrc.�.�ivYCwle � co���n� �—: 7. Geo[hertnal Enerey Heatine!Coolino Device
�2. Does [he buyer have a homestead m be vacxted for this residence? If r. S. Is Ihis propzrty a residential remal pmperh�?
yes, provide complete address of residenee vaca[ing, includine county:
r 9. \Vould you like to recieve tas sta[emer.r- for this pmpem via
SDO', 1����M� Cl.�L 1 z-mail?/P.o��idecorsr �r�,fonr.alionAefmv.Plenseseerhe )
W u� ��� � L� insmicl+mes nr mare in orrna�ion. Na m�nifable in n/I ca�mies.
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Cirv.Smrr,andLPCode Co�mrc rrmm��V�o�um�ou�nerron:unr e E- ,
l�nder penal[ies o( perjuq�, I hereby crrti(y that this Sales Disclosure, to the best of my kno�rled:e and belief, is vue, currect and complete as
required bc lae�, and is prepared in accordance �ci(h IC 6-1.L55, "Real Propertr Sales Disclosure AcC'. (:�b[e: Spouse Intorma[ion, Social Securi»�
andiDriver's L,icense/other nun7$ers are nu[ ne�epsan� if nn Nomestead Deductiun is being fileJ.)
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