HomeMy WebLinkAboutHomestead_CoomerINDIANASALES
ID:
Karen S. Creek Closina Aaent �
Preparer of fheSales 06clomre Fortn Tlde '
501 Main Sireet Suite 107 Bosse 7
Address (Number and Streetf Company
Evansville. IN 47708
�o6ert G Wiliiamcon
Seller ]- Name as oppmrs m ronveyvnre dncumml
12 Rathhona Rnad
Address (NUmber anASVeet)
Crawfordville FL 37997
CIty.SmtG and ZIP Code
Se11er7 � Name as appevrs on conveyvnre document
Clty, Smte, and ZIP Cade
E mafl
Under penaldes of perjury, l hereby certify that this Sales Disclosure, to the best of my I�owledge and belief, is We, correct
and compiete as required by law, and is prepared in accordance with IC 6�lyt�.5, "Real Property Sales Disclosure Act".
57gnaNre of5eller
//r�� S�gnanirea(Seller
`�'�' — ' I ' ��' �� Fiivohothl, 1Ali
Ryan Coomer
Buyer 1� Name as appmrs on rom�eyanre document
6136 W. Staiheim Ave
Addres (Num6er ond StreetJ
Owensville. IN 47665
„
Buyer d- Nome as appears on convryvnce dxument
Addres (NUmber and Strret)
^
THE SALES �ISCLOSIIRE FORM pL1Y BH USED TO APPLY FOR CERTAIN DEDUC710Y5 FOR THIS PROPERTY. IDENTIFY ALL OF TXOSE THAT APPLY.
�✓ � 1. 4Vi11 this property be the 6uyer's primary
residence? Provide complete address of primary
residence, including county:
Addrev (NUm6er and SveetJ
C❑(ty.5mte7JPCode [aunry
U2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrar (Number and StreetJ
llty. Smte ZlP Code Covnry
❑✓
❑
❑
❑
❑
❑
�
�✓
✓❑
�
❑✓
3. Homestead °S��n4
4. Solar Energy Heabng/Cooli�j
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Ener� Heating/i
8. ls this property a residenrial
9. Would you like to receive tax
property via e-mail? (Provide
6elow. P(ease see instructions�
Not availa6le in all coundes.)
Under penaldes of perjury, l hereby cerdfy that this Sales Disclosure, to the best of my Imowledge and
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales
Spouse information, Social Security and Drivers License/Other numbers are not necessary if no Home,
bein� LiT
.
5(gnao� Buyerl � // � 5lgnadreo/Buyer ouse
!' �' r � Cara Conmer
Printed
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