HomeMy WebLinkAboutHomestead_LeekSALES DISCLOSUREFORM SDFID:
116 S. Main Street
idrea (Number ond Street)
nceton.IN 47670
Ciry, Smte, and ZIP Code
Raymond f_ f amey. TrusteP
Seller] -Nameasappearson conveyancedarumen[
5500 Aufumn Rid9e
Address (Num6er and Sveet)
Newburgh. IN 47630-
City, Smte, and ZlP Code
Title
Company
(
E-mail
Seller 2- Name as appears om m�veynnre dacument
Address (Number ond StreetJ
City, Sm[e, and Z/P Code
E-mail � TelevhoneNumber E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comp� eyuire by law, and�ared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC'.
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Signaa�r� Signa[ure o(Seller
Buyer]-Nameasappear mnveyancedacumen[ Buye�2-Nameasappearsomm�veyancedocvmen�
rc Street
Address (Number ond Street) Address (Num6er and Street)
Ft. Branch IN 47648
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THE SALES DISCLOSORE FORDf MAY BE USED TO APPLY FOR CERTAIN OEOOCf10NS FQR THIS
YES \0
❑✓ ❑
1. Will this property be the buyer's primary
residence? Provide complete address of�
residence,including county:
Addrecs (Number ond Street)
Ft. Branch IN 47648 Gibson
Qry, Smte ZIP Code Counry
�� 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
complete address of residence being vaca[ed,
induding county:
Add�ess (Num6er and Street)
liry, Smte Z/P Code Counry
�✓ � 3. Homestead
!_L n 4. Solar Eners
❑ �
❑ ❑�
❑ ❑�
❑ ✓❑
THAT APPLY.
S. Wind Power Device
6. Hydroelectric Power Device
Sys[em
7. Geo[hermal Energy Heating/Cooling Device
8. Is this property a residen[ial rental properry?
9. 4Vould you like to receive tax statements for this
properry via e-mail? (Provide contact informotion
below. Please see instrudions for more information.
Notavailable in all counties.)
aG-/9- /�- ,3ai- ace. �aS'- oa�
name
E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, 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, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
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LastSdigiGSOjBuyerlDriver's State LastSDigitso�SacialSecuriryNum6er Los[SdigiuofBuyer2/SpouseDriver's Sm[e LastSDigi[so�Social5ecuriry
Lirense/lD/OtherNumber Num6er License/ID/OtherNum6er