HomeMy WebLinkAboutHomestead_Weber (11)�UTAN,\ S.U.F,S DISCLOSURE FOIt\I
D. PREPAR
� D Walden
Preparer of [he Snles Disdosure Fonn
2n� F. North SUeet
�ss(Nunr6erond5vee[)
Fort Branch, IN 47670.
Ciry. Smrc. anA%IPCOde
le D. Weber
Selfer I- Name as a➢Yrors on ronve�ance Ancument
213 N. 6th Street
Address (Number ar.d 5�
Albion, IL 62806-
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Law
Paoe ?,
Jay D. 4Valden Attomey at Law
Compr.ny
Seller: - A'ame ns nypears m� mnvernnce docvment
Address ('n'umuer and Stree:J
City.Sm;C anAZIPCoAe
Under penalties of perjury, I hereb}' certify tliat tliis Sales Disdosm�e, to the bes[ of my knowledge and 6elief, is true, correc[
and c p e assequired b la� � and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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Signn:ur .er Si�inu:ureo%Srllcr
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F. BUYER S GRA\TEE S- APPLICATION FOR PROPERTY TAX DEDUCTIO�S- IDENTIFY ALL ITEMS THAT APPLY
Zachary B. N/eber
Buyrr I� M1'ume os appmrs on •mveronte Axumen[ Buyer? - Name ns apyecrs om m�reynnm Jotvmrnt
704 E. Park Street
Address (A'umAernnd5eree
Fort Branch, IN 47670.
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dddress (�VUrnber and SveeQ
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TH H SALES DISCLOSURE FORAf P1d1' 13E USE� TO APPLP FOR CC:RTAIR DEDUCfI065 FOR THIS PROPERTY. I DENTI FY dLL OF THOSF. THAT dPPLY'.
YES 60 CO\DITION
�X ❑ 1. 4Vi11 Ihis property be the buyer's primary
residence? Provide complete address of prima�y
residence, including tounty�:
764 E. PARK STREET
AAdress (bhunber anA Strert)
Fort Branch, IN 47670
C�N. Smte %IPCode
GIBSON
Caunrv
�� 2. Does the buyer have a homestead in Indiana [o be
v2cated fm' [his residence? If yes, provide
complete address of residence being vacated,
induding county:
dddress (�1'um6er ond Sv¢e:)
Ciry. SmreYIP CoAe
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3. Homes[ead
4. Solar Energy Hea[ing/Cooling System
S. 61�ind Po�ver Device
6. Hydroelecn�ic Power Device
7. Geo[hernial Energ}� Hea[ing/Cooling Device
8. Is diis property a residential rental property?
9. 6Vould you like to receive tax sta[ements for this
property vi2 e-mail? (Provide wntact injormation
belo�v. Plense see instructions%r more rn�ormntion.
i1'ot available in all rounties.)
� In_,� ,� -�o i�� yo 50� r�
Counp• E�mall
N'imorv urouerrv o�vner mnm<t name
Under penalties of perjur}�, I hereby certify [hat [his Sales Disdosure, to Ihe best of my knowledge and 6elief, is true, correc[
and comple[e as required by law, and is prepared in accordance ���ith IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security anA Driver's License/Other numbers are not necessary i(no Homes[ead Ueduc[ion is
being���
Si� .mmre oJ Nuyer] SignnNre oJ duyer':/Spouse
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