HomeMy WebLinkAboutHomestead_BlankenbergerI�DIA�AS�LES DISCLOSURE FORU
SDFID SDOID 734602
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Samantha Cutsinqer
R'eyarc� u/Ne Sc/es Dlularvre Form Title
226 W. Broadway Broadwav Ti�le, Inc.
AdJrar(NumGOanASVeeQ Comyony
Princeton, IN 4767a
E-mail
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E.SELLER S GRANTOR S
Paron Josi Aaron Jost Construclion, Inc.
Srller 1- Nome as apµvn an mrrve�wie Jaument Srlia' I- Namr us nppevn on mm�nr�n<e da'vmrn(
200 E. Jennings St.
Address (Number ond S[reeQ A6drtn (NUmber ondSVee[)
NewDUrgh, IN.47630-
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Under penalties o(perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belie(, is true, correct
and comple as re 'red by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC.
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F. IGRANT -APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Jerertry Blankenberger
Bu}r�i�KOmensoppanrsmrnn . ntedoa�mert: Buyer2�Nameusnppevrsomm�vrv�nttdatummt
AJdrea (A'umber anASVee[J AAdras (Numbrr ond Srteet)
tadt, IN 47639-
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THE SALES DISCLOSU0.E FORN MFV BE USEO TO APPLY FOR CERTAIN DEDURIONS FOR THIS PNOPERTY. IDEMIFI' ALL OF THOSE THAT APPL\'.
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x❑ � ]. Will chis properry be the buyer's primary x � 3. Homestead
residence? Provide complete address of primary —, o ar nergy Ileating/Cooling System
residenre, intluding county: � �
605 S. CENTER S7. 5. �Vind Power Device
,�denss/n��.,:x�onas�.ee�) ❑ Q 6. Hydroelectric Po�ver Device
FL Branch, IN a76a8 GIBSON � � 7, Geothermal F.nergy Heating/Cooling Device
Ciry, Smte ZIP Cade Counry
� � 2. Does the buyer have a homestead in Indiana ro be � Q 8. Is this property a residen[ial rental property?
vacated for this residence? If yes, provide ❑ Q 9� 4Vould you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide rontnct information
induding county: below. Please see instruc[ions for more information.
Abt available in a!f counties.)
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Ciry.SmteZlPCOde Counry ��' �" /� /�/ • ��
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to Ihe best of my knoµ�ledge and belief, is true, correct
and complete as equired by IaK�, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spo se inform on, Social Security and Driver's License/Other numbers are no[ necessary if no Homes[ead Deductlon is
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