HomeMy WebLinkAboutHomestead_BorneDISCLOSUREFORM SDFID:
Prcparer ojthe Snla D'udasurc Farm
7820 Eaale Crest BNd Ste 201
AdQr� (Num ber and Street)
Evansville. IN 47715
Clry. Smtq and LP Lode
Drnise E_ Sham
Se0er7 - Name aa appenrs w mnveyonce documenl
295 S Jackson St.
Addrcss (NumWr an d Sveet)
Oakland CiN IN 47fi60
pry. Statq and LP Code
Title
teaional Title Services.
Seller 1- Name as appears on
Addrev (NUm6er and Stree[J
Clry, Smtq and LP Lade
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 re wred by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosire Act".
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� SignaNreafSeller —r I SignaNreaJSeller '
F.
mnvryunadacvmen[
3401 S. State Route 57
Addras (Nvmber and StreetJ
Oakland Ciri IN 47660
[iry, swtq ane LP Ude
IDENTIFYALL
mnveyonmdocumm[
THE SALFS DISdOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIOYS FOR THIS PROPERTY. IDEXTIFY ALL OF THOSE THAT APPLY.
� 1. Will this property be the buyer's primary
residence? Provide complete address of F
residence, including county:
995 S .lackcnn Rt
Address (NUmber and5treet)
Oakland CiN. IN 47660 Gibson
Ciry, Smte LPCode Counry
� Q 2. Does the buyer have a homestead in Indiana [o be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrev (NumW andStreeQ
Ciry, 5m¢ vP [ode Counry
�✓ � 3. Homestead �
,/ 4. Solar Energy Headng/Coolinp
� Q 5. Wind Power Device
� Q 6. Hydroelectric Power Device
❑ Q✓ 7. Geothermal Energy Heatlng/i
� Q 8. Is this property a residential .
� �✓ 9. Would you like to receive tax
property via e-mail? (Provide
below. Please see inshvctlons�
ai a le in all countles.)
-3o�'�-Ooo- �
name
�J`
g Device
property?
nents for this
:t informadon
re informatlon.
..
Under penalties of perjury, 1 hereby certlfy [ha[ this Sales Disclosure, to the best of my knowledge and beiief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Nate:
Spouse information, Sociai Security and Driver's License/Other n�mbers are not necessary if no Homestead Di duction is
be file '
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