HomeMy WebLinkAboutHomestead_BakerI\DIA:Cp SALES DISCLOSURE FOR\I
MICHELLE HAYNES BOSSE TITIE COMPANY
501 MAIN STREET. STE 701
SDF ID 26-2009-1000293
CLOSING AGENT
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BOSSE TITLE COMPANY
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EVANSVILLE, IN 47708 (
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CHRIS S BRACKETT BRIDGETTE L BRACKETT
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ELBERFELD,IN 47673 ELBERFELD,IN 47613
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Inder penalties oi perjun•, 1 hereb}� certifi• tha� this Sales Disclosure, to the best o( m�� kno�rledge and belieL is true, correct and
omplete a reyuired b�� law, and is preparcd in accordance �rith IC 6-1.1-�.�. "Real Propert}� Sales Disclosure Aci".
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FT BRANCH, IN 47648
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r- I. \\'ill �his propcm bc thz bu}'rls priman� residencc? Procidc c plcte
address ot primary residence. includin� counry: /
502 N RAILROAD STREET
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FT BRANCH, IN 47648 Gibson
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r?. Does [he buyer ha��e a homestead to be vaca[ed for ihis residence'? If r� g_ �� ihis pmpem� a resideneial ren�al property?
yea. pro��ide wmpletz addre>s of residence vacatine. indudinc counry:
r� 9. �1'ould you like to recicve tas statemen[s for this propem� �ia
e-mail? (Prm�ide conmci infonnvrion belmv. Mease srr �he
insrrucriuru for morr in%rmvtion. :\'ot m•ailahle in a!l rnw�ies.)
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�n rr prnalueti o perjunt I ere y cerufy t at t �s a es D�sc osure, Io the est o m�� �no.r r ge and elief, is true, correct and comp ete as
reyuired by la�r, and is prepared in uccordance �vith IC 6-1.1-5.5, "Real Propertr Sales Disclosure Ac[". (\ote: Spouse Information, Social $ecurin�
and Dri�'er's License/o�her numbers a� no[ necessan� i(no Homestead Ueduc�ion is being filed.)
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CONFlGENTIAL C0.'VRDENTIAL COVFIDE?JTIAL
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