HomeMy WebLinkAboutHomestead_Knust H. PREPARER
Preparer of the Sales Disclosure Form Title
Ashlee Cox Title Specialist
ICompany •_ �-, .;
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Sutter 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Haylee Knust _
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City, state, and ZIP Code City, state, and ZIP Code
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my knowledge andrb, a plete as
required by law, and is prepared In accordance with IC 6-1.1-5.5. A person who knowingly and Inter ro I f �� transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
14 turf() of Seller . / Signature of Seller
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Printed tJa a of Seiler Date signed (mm/dd/ ) Printed Name of Seller Date signed (mm/dd/yyyy)
Haylee ust • ,3 2�
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY
1. Will this property be the buyer's primary 0 3. Homestead
O Q residence?
CI O 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated � O 5. Wind Power Device
, [-3for this residence? If yes, provide address: C C) 6. Hydroelectric Power Device
Address (number and street) 0 Q 7. Geothermal Energy Heating or Cooling Device
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City, state, ZIP code, and county
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, Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete
as required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and Intentionally falsifies the value of
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