Homestead_GreemoreDISCLOSURE
Preparer o/Ne Sala Dfnlasure form
Closina Coordinator
T7tle
7820 Eaale Crest Blvd Ste 201 Reaional Title Services. LLC
Addras(Num6vondStra[J �
- E-mall
Mark Smith
SeNer t- Name aa appnrs on ronveyance dxummt
�42E 800 S
Addrm (Number and Street)
Sel/o 2� Name as appears an convryvntt dacumm[
Address (Numbo and Street) ,
Ft Arench. IN 4764A
Ciry, Smtq and LPCode Ciry, Sm[q and Z1PCode
Onder penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
apnd� ,c,,omQplete as required by law, and is prepared in accordance with IC 6-1.1•5.5, "Real Property Sales Disclosure Ac[".
/' � !� irr.L,t.i.
Slgnacureo(SeRrr � I 9gnaNrcofShcer �
�hremv M. Greemore. Jr. ) Emilv M. Baehl -
�tlnj�o-}�Mnnuacappmccw<mvn»n!edacnm!n. @uyer2-Nameasappearsonronveyvnmd� 3 �2015
10548 S Beal Rd. 10548 S Beal Rd ' �
Addrm(NUmWiandStrret) Addrm(NUmberand5trcet)
Vncennes IN 47591 Vncennes IN 47591 _ a�
Ciry,SmtqandZlPCade Ciry.Slute,and7JPCode GIBSON COUNTY AUDITOR
THE SALES DISCLONAE fORM MAY BE USED TO APPLV FOR
�✓ � 1. Will this property be [he buyer's primary
residence? Provide complete address of E
residence, induding tounty:
FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT MPLY.
'�2 E 800 S
Addreu (NumWi andSbre[)
Ft. Branch. IN 47fi48 Gibson
Ciry, Sm¢ LP Lode Counry
� Q✓ 2. Does the buyer have a homestead in Indiana to be
vaated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrev
Counry
❑ ❑✓
❑ ❑�
❑ ❑�
❑ ❑✓
❑a
�� �
3 Homestead �
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Pawer Device
7. Geothermal Energy Heatlng/Cooling Device
8. Is this property a residentlal rent5l property?
9. Would you like to receive tax statemen[s for this
proper[y via e-mail? (Provide contpct informadon
below. Please see instrucdons for niore injormation.
- � o Y-oo1. 3y'3
Under penalties of perjury, [ hereby certify tha[ this Sates Disclosure, ro the best of my knowledge and belief, is true, correct
and cample[e as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disdo'sure AcC. (Note:
Spoutq information, Spcial Security and Driver's License/O[her numbers are not necessary if no Homestead Deduction is
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