HomeMy WebLinkAboutHomestead_HicksSALES DISCLOSUREFORM SDFID:
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Jessica Trice
Prepara o/rhe Sala Disdmure Form
501 Main StreeL Suite 101
Address (NUmbermd Sveet)
_ Evansville. IN 47708
Ciry, Smf4 andZlPCode
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Selfe� 7� Name as appcors om m�veyance docvmen!
_8701 West DndBe Rnad
Addrar (Number ond SveetJ
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Company
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Selfer 2- h'arne as apprors om m�ve)anre doaumen[
Addras
Ciry, Statc, and ZIPCode
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief; is true, correct
and com I te as required b' y lafv, and is prepared in accordance �vith IC 6-1.1-S.S, "Real Property Sales Discli sure Act".
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TNE SALFS DISCLOSURE FORM h1AY BE USED TO APPLY FOR CERTAI\ DEDUCfI0N5 FOR TH�S PROPERTY. IDE\TI FY ALL OF TNOSE THAT APPLY.
�' ❑ 1. Will this property be the buyer's primary
residence? Provide comple[e address of primary
�c5 �sidencu�� q}� ��
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Ciry,SmreZIP ode —� Counry
❑ �2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? lf yes, provide
comple[e address of residence being vacated,
including county:
Addr¢s (Number an d SVeetJ
Liry, Sm[e71P Code County
YES NO CO\UITIOY
❑ 3.liomestead
❑ [� 4. Solar Encrgy Heating/Cooling
❑ 'v� S. Wind Power Device
❑ y� 6. Hydroelectric Power Device
❑ [j� 7. Geothermal Energy Heating/C
❑ Q� 8. Is this property a residential n
❑ [j�9. Would you like [o receive tar:
property via e-mail? (Provide c
6elow. Please see instructions jc
Not avaifable in all counties.J
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property?
nen[s for [his
't in�ormation
re in/'ormation.
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Under penalties of perjury, I hereby certify [hat this Sales Disclosure, to [he best of my knowledge and belief, is true, corred
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 informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead;Deduction is
berin� filed.) � < �, �
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5 digits Driver's
Num6e� License/ID/OtherNum6er
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