HomeMy WebLinkAboutHomestead_MercerINDIANH SALES DISCLOSURE FORM SDF ID: Pa e 2�
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Rav M. Drulev Attomev No.: 4759-26
Preparer o(Ne Safa D'udafure Fortn Ttle
�5 N. Church Street. PO Box 146 Law Office of Rav M. Dru�ev
Address(NumbnandSo-en) [ompvny
Fort Branch. IN 47648 {
?E"SEI:CER S `GRAN.TOR S �"'FFr��"_r4:�'ti��...{.��. �mixaj`�"`.�'.'_+;'�.`,:�.'.—.�+'�?'��.�+i*f,�,,�i��i°rl�Y��i`'-Fr^i''Y:n-A'-.�v:.i_�.�">:9.,°�.-�k" �.t'���W.K�-.:;
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Sellu 1- Name as appenrs an cwveyanre dooument Shcer 2- Name as appears om m�veynnce dxummt
104 S Church Street
Addrezs (Number and Svee[) Addrecs (Number ond Street)
Fort Branr.h. IN 47Fi4A
Tele honeNumbr� E-matl Tele honeNum6er E-mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law,�a{n�d is prepared in accordance with IC 6•1.1-5.5, "Real Property Sales Disclosure Act".
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YE: BUYER 5` GRANTEE S!�`�APPLIGATION;EOR P,ROPERTY;TAXsDEDUGTIONS='IDENTIF.YTALG�,ITEMS;THAT-APPL•Y�n R?"x,� =s",1*:�, x
Elizabeth Ann Mercer
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THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY POR CERTAI,Y DEDUCfI0N5 FOR THIS PROPERTY. IDE.YTIFY ALL OF TNOSE THAT APPLY.
YFS NO CONORIOA' YFS NO COtiUIT10Y
Q � 1. Will this property be the buyer's primary Q � 3. Homestead
residence? Provide comple[e address of primary � � 4. Solar Energy Hea[ing/Cooling System
residence, including county:
104 S Chi rrh Strrrt ❑ ❑✓ S. Wind Power Device
Addrgs(Numberand5tree[) ❑ Q 6. Hydroelectric Power Device
Fort Branch �N 47648 Gibson � Q 7. Geothermal Energy Heatlng/Cooling Device
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� 2. Does [he buyer have a homestead in Indiana [o be � � 8� �s [his property a residential rental property?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like [o receive [ax statements for this
complete address of residence being vaca[ed, property via e-mail? (Provide contac[ informadon
including �unty: below. Please see instruc[ions for more information.
e%D �/ �,�, rD.S fi�r No[availableinallcoundes.)
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Rimaryprvperryowner conmc[ nome E-mafl
Under penal[ies of perjury, t hereby certify that this Sales Disclosure, [o 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 Ac[". (Note:
5 ouse'nformation, Socia ecurity and Drivers License/Other �umbers are no[ necessary if no Homestead Deduction is
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License/lD/OrherNum6er Num6er License/ID/OtherNum6er