HomeMy WebLinkAboutHomestead_Schulten 1
H. PREPARER 1
Preparer of the Sales Disclosure Fort/ T tle
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Address(number and street,city,state,count and ZIP Code)
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I. SELLER(S)IGRANTOR(S) J
Seller 1 -Name as it appears o cory✓eya 3cq document Seller 2-Name as appears on c veyance document I.
Address(nr umb and street) Address(number and street) I
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City,State,and ZIP Code C ty,State,and ZIP Code It
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Country ( Country
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowled a and belief,is trine, ect,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly a ntentionally falsifies the value of transferred
real property,or omits or falsifies any inform ' quired to be provided,commits a Levd
Signature of er S gnature of Seller SON CO(/Q
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Printed Na Selller / 1/ Date Si ed(mm/dd/yyyy) Pinted Name of Seller D'a Signed(mm/dd/yyyy)
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J. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY--AX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1 -Name as it appears on conveys c document Buyer 2-Name as it appears on conveyalnce docu ent
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Address(number and street) Address(number and street)
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CitnState, and ZIP Code C ty,State,and ZIP Code /
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Country Country
Email Address
d' 1.Will this property be the buyer's primary 0 3. Homestead
residence? p/ 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated O,, 5.Wind Power Device
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for this residence? If yes, provide address: J 6. Hydroelectric Powers Device
Address(number and street) 0 ( ' 7.Geothermal Energy Heating or Cooling Device
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C ,State, and ZIP CodeCounty
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Under penalties of perjury,I hereby certify that this Sales Disclosure,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.A person who knowingly and intentionally;falsifies the value of
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