HomeMy WebLinkAboutHomestead_FrenchINDIANA SALES DISCLOSURE FORM SOT ID: 'Page 2
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_'�Prcpurer
Christopher E. Cad. Esq. Attorney at Law
of the Sales Disclosure Form Title
®1 01 Plaza East Blvd.. Suite 102 True Title Service. LLC
Address (Number and Street)
4E.ISELL-ER(SIZGRAN,TOR(Sl_ �.-= _L�-,-
Dennis F Hayden
a ears
pp on conveyance document
Seller 2 - Name as appears on conveyance document
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Address(NumberandScreet) J
Address (Number and Street)
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certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and fbTplete . as re ire by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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SqinamraofSaffar Signature ofSeller
Dennis F Hayden 03130/2012
Printed Name of Seller Sla. Date fMAIIDDIYYM Printed Name of Seller Sian Dow (MMIDDlYrM
;F-.BTY—ER(S)`.GY-IM,E(S)"f-AP.P.LIC-AT-IONIFOR�PROPERT,Y-TAX;DEDUCTION - I IJA EMS THATAPPLY>--,.
Dustin K French -1)
Manessa Lea French
ppears on conveyance document
uyer2 Nameas.ppwricm kvancedocurnmt
8336 E 900 S
8336 tfBS
Address (Number and Street)
Address (Number and Street)
Elberfeld. Indiana 47613
Elberfeld, Indiana 47613
APPLY.
YES NO CONDITION I YES NO CONDITION
F/I ❑ 1. Will this property be the buyer's primary
3. Homestead
residence? Provide complete address of primary
❑ 4. Solar Energy Heating/Cooling System
residence, including county:
Wind Power Device ❑
Y3 3 (.
❑ V,6. Hydroelectric Power Device
Address(NumberandStr
El be-r-Pe
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❑ 7. Geothermal Energy Heating/Cooling Device
❑ . is this property a residential rental property?
c3ze,me ZIP code County
F-1 2. Does the buyer have a homestead in Indiana to be
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vacated for this residence? If yes, provide
❑ Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
-1
421/2 S. "q %.A J .9,
Not available in all counties.)
Address (Number and Street)
►a I A-1 415 q;r P, k
via
17-
Qty.ScataZIPCode County
Primary property o,vnercontacr name E -mail
Under penalties of perjury, I 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 information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filled.)
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SignmureolfRoyerl S(gnature of Buyer2lSpouse
I#UStan M French IvignpgRa I PR French 03/30l2012
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