HomeMy WebLinkAboutHomestead_Hoover�
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Kimberly A. Lewis
xrei oJ the Salrs Dudosure Form
26 W. Broadway
Addres(NvmberandSVtttJ
Princeton, IN 47670
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Christopher P. Schaefer
SAferl-A'omeosoppearson�onv nttdrcumen[
715 Kennedy �r.
Office Manager
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Broadway Title, Inc.
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Reyna A. Schaefer
Seller 2- Nome as appears w conveynnae Cocumen[
715 Kennedy Dr.
.9ddrm (Number ond S�reeQ Address (Number and Sveet)
Ft. Branch, IN 47648 Ft. Branch, IN 47648
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E-mail
Under penalties of perjury, I hereby certify tha[ this Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, correct
and complete as req �r by Iaw, and is prepared in accordance �vitha 6-1.1-S.S, "Real Pro erty Sales Dis, , closure Act".
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Signamreo dler _ �� � �gn mr fShco ^ � n � �
Bvya I- Name as appears on
Addreu (Number and Strre[) Addres (Numbe� and StrceQ
Princeton, IN 47670 Princeton, IN 47670
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THE SALES DISCLOSURE FORM MAY BE USED TO APPL\' iOR CERTAIY DEDURIONS FOR THIS PROPERTV. IDEM1TIFY ALL OF THOSH THAT APPLY.
X❑ ❑ 1. Will this property be the buyer's primary
residence? Provide complere address of primary
residence, induding county:
715 Kennedy Dr.
Addr¢s (Numbei and Strttt)
Fr n,-a„�t, _ rr.T a7648 G� bson
Ciry, Smtt LPCade Counry
� ❑ 2. Does the buyer have a homestead in Indiana [o be
vacated forthis residence? Ifyes, provide
complete address o( residence being vacated,
induding county:
9f1R9 N SR �5
Addre�s (A'vmber andSVeet)
Princeton. IN 47670 Gibson
Ciry.SmuZIPCode Counry
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3. Homestead
4. Solar Energy Hea[ing/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heaung/Cooling Device
8. is this property a residentlal rental property?
9. Would you like to receive ta�c statements for this
proper[y via e-mail? (Provide contoct information
below. Please see insfructions for more information.
Not available in all counties)
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance wi[h IC 6-11-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social 5 curity and Driver's License/Other numbers are no[ nece�ssary i( no Homestead Deduction is
being filed. \�
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