HomeMy WebLinkAboutHomestead_White (6)INDIANA SALES DISCLOSURE FORM SDF ID:
IllPRFPARFR:"�' . � °i—s�-:°"-',':f"_.�-•.�-',:t';�--.,
Preparer of the Sales Disdosure Form
501 Main StreeL Suite 101
Address (Number and Stree!)
Evansville. IN 47708
City. Smte, and ZIP Code
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Seller7 -Nameasappevrson canve}nnc¢documen[
?357 F. Wamn9fin Road
Address (NUmber and Street)
Haubstadt. IN 47639
Ti[fe
lompany
Seller 2- A'ame as appears om m�veynnte document
Address (NUmbe�nnd StreetJ
City. Sta[e, and ZIPCode
Under penaldes of perjury, I hereby certify that this Sales Disclosure, to Ihe best of my knowledge and
an�bmple�e as reyuirecyby law, and is Qrepared in accordance with IC 6-1.1-S.S, "Real Property Sales
Buyer I- A'ame asappears on wnveyunre dacumen[
Address (A'umber and StreetJ
Owensville. IN 47665
Ciry, Smtz and ZIP Code
�
SignaNre o(Seller
Bv}�rr Z-,1'ame os appevrs on
Addr¢ss (h'umber and SVee[)
City, Smte, and ZIP Code
THE SALES DISCLOSU0.E FORDf AUY BE USED TO APPLY FOR CERT.IIN OEOUCTIO VS FOR THIS PROPERTY. IDENTIFY ALL OF TNOSE TFWT
� 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Addres (Number ond Streeq
City, Smte ZIP Code Counry
��2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including counry:
ond Svret)
Clty, Smte ZlP Cnde [ounry
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3. Homes[ead
4. Solar Energy Heating/Coolin
S. 4Vind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/
8. is this property a residentlal
i
9. Would you like to receive tax
property via e-mail? (Provide
below. Please see instructions
Not available in all counties.)
Under penaldes of perjury, t hereby cerdfy that this Sales Disclosure, to the best of my knowledge and I
and complete as required by law, and is prepared in accordance �vith IC 6-1.1-5.5, "Real Property Sales
Spouse informatlon, Social Security and Drive�'s License/Other numbers are not necessary if no Home�
being fil .
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