HomeMy WebLinkAboutHomestead_MayerAddres (Nu mber and Svee[)
EVANSVILLE.IN 47708
Ciry.Smre, andZlPCode
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TOTAL TITLE SERVICES. LLC
Compa'ry
E-mail
BEVERLV J DAHL JUI IF S. NALL
Sellerl-Nameasappearsmconveyunttdocvment Sel/rr Nameua pevrsoncon ncedo�vment
30-� E L ouvYi- � 30�1 �. /�CUST
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Under penalties of perjury, l hereby certify that [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as re�uir�tl.by lapw, �d is prepared in accordance wi[h IC 4-11-5.5, "Rea�ropet�y Sales Disclosure Ac[".
1 - Name as
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THE SALFS DISCLOSURE FORM P1AY BE USED TO APPLY FOR CERTAI,Y DEDURIONS FOR TNIS
� 1. Will this property be [he buyer's primary
residence? Provide complete address of F
residence, inc ud� county:
7 E � Locus �-
�"-�`�`�rane%i' iN `f7(,�fS,' (iilxon
Ciry,S,m�t�e_j�PCOde Counry
�� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
9ddr� (NUmber and Svee[)
Ciry. Smtt ZIP Code
Counry
� 3.
ALL OF TNOSE THAT APPLY.
Heacing/Cooling System
U' S. Wind Power Device
❑ 6. Hydroelec[ric Power Device
❑ 7. Geothermal Energy Heating/Cooling Device
� 8. Is this property a residential renfal proper[y?
� 9. Would you like to receive tau statements for [his
property via e-mail? (Provide contact information
below. Please see instructions for more infarmapon.
Not available in all coundes.)
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Under penalties of perjury, 1 hereby certify tha[ this Sales Distlosure, [o the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Proper[y Sales Disclosure Ac[". (Note:
Spouse informadon, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
being filed.) , � / - ; /� ,�n
LastSdigiGSOfBuyerlDriver's Smre LastS
License/lD/Other Num6er
2/Spouse Dnver's
h'um6er License/ID/OtherNumber
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