HomeMy WebLinkAboutHomestead_Monroe (3).I�pIA�,LSALESDISCLOSUREFOR\I SDFID SDOID 717970 Page2
D.PREFARER
Emily Smith Closing Agent
Reparer o(Ge Sala �irrlosure Fonn Title
�'15 �.E. MLK Jr., Blvd. � Southwestem Indiana Land Title Inc.
lul�s(Ay�niLeranRShec:) Company
cvansville, IN 47713-
E. SELLER S GfU1NTOR S
Lowell R. Hayhurst Em� Y. Hayhursi
Selfer I� Name ar oppeprs on mm�9anre dorumen[ Se//er 2- Name ns a➢pmrs on mm•eyance daniment
600 S. 9th Avenue 600 S. 9th Avenue
AAdress (A4�mher ond Svee[) Address (Xumber and5trer[)
Haubstadt, IN 47639- Haubstadt, IN 47639-
E-muil
Under penal[ies of perjwy, I hereby certify [hat this Sales Disdosure, to [he bes[ of my knowledge and belief, is true, correc[
and complete as r q ired by law, and is prepared in accordance wi[h IC 6-11-S.S," eal Proper[y Sa s Di ciosure A[".
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F. BUYER S GRFlNTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Matthew A. Monroe Mark A. Monroe
Quyer ]� ltame as appevn om m�ve9•vnce dxvmer.t Buyr� 2- Nnme as appmn on rnnveyanre docvmcnt
4 W. Red Bank Road 601 E. Sirain Street
Address /Numhcr onESUmQ Addrecc (NUm5erana Slreetf
Fort Branch, IN 47648- Fort Branch, IN 47648-
�uy, Smte, nnd LIPCode
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THE SdLES UISCLOSURE FORDI DIdY BE USED TO APPLI' FOR CERTAI\' DEDUCfIONS i0R TH IS PPOPERTY. I DEnTiF4' ALL OF THOSE THAT APPL\'.
YES NO CORDITION VES AO COYDITIOV
x0 ❑ i. lVill this property be the Uuyer's primarv �x � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Hea[ing/Cooling System
residence,includingcounty: ❑ �
4. W. RED BANK ROAD S. Wind Power Device
ade�e::/NumberanJStrceQ ❑ Q 6. Hydroelectric Po�ver Device
Fort Branch, IN 47648 GIBSON
❑ Q 7. Geothermal Ener�+ Heating/Cooling De��ice
Ciry. Smle %IPCoCe Coun.y
�� 2. Does [he buyer have a homestead in Indiana [o be � 0$� Is [his property a residential rental property?
vacated for chis residence? If yes, pro�•ide ❑ Q 9.1Mould you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact inforrnotion
including count}�: belo�v. Please see instructions%r more information.
A'ot available in all counties.J
. WJress (Nvm6er md Sfrcel)
Ciry.Sro�eZlPCade Counry ��'/�'�����I �oO•� - aa6
{Yimory➢royert}•ownerronmcrnnmr E-moil
Under penalties o(perjur}', 1 herebvi certify [ha[ [his Sales Disclosure, to [he best o(my kno�vledge anJ belie(, is [rue, currec[
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (No[e:
Spouse information, Social Securit}' and Driver's License/Other numbers are no[ necessary if no Homestead Deduc[ion is
being filed.)
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