HomeMy WebLinkAboutHomestead_Zenthoefer;. --
Form
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�Jdress (Numberand Sve
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liry, Smrg and ZIPCode
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E-mail
Seller2 � A'ame as appears on conveyonre davment
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Addres (NUmber ond Snne)
�t : R�u � , �N �76 �ll�
iry, SW te, and
Under penal[ies of perjury, I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
afrd,�omplete as required by law, �nd is prepared in accordance witt�IC 6-1.1-5.5, "Real PSoperty Sales Disclosure Act".
Smte.andLPCade �
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Buyu 2- Name as oppears on romeyance document
Address (A'um6er and Street)
Ciry, Smte. andLPCade
THE SALFS DISCLOSUItE FORM PiAY BE USED TO APPLY FOR CERTAIY UEDURIO\5 FOR THIS PROPERTY. IDEYTIFY ALL OF TNOSE THAT APPLY.
YFS �0
� ❑ 1. Will [his property be [he buyer's primary
residence? Provide complete address of primary
,., , residence, includ,Zng county:
Ciry,SmteZlPlode � - Counry
❑ �f, 2. Does the buyer have a homestead in Indiana [o be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Add�as (Number and Stree[)
lity. Smre ZIPCode
Caunry
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CONOITIOS
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3. Homestead
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6: Hydroelectric Power_Device �
7. Geothermal Energy Heating/Cooling Device
S. Is [his property a residen[ial rental property?
9. Would you like to�receive [ax statements for [his
property via e-mail? (Provide contoct informopon
below. Please see ins[ructions jor more injormation.
Not availa6le in'all coun[ies.)
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conm¢name
E-mail
Under penalties of perjury, 1 hereby certify [hat this Sales Disclosure, [o [he 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 Disdosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
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S(gmNre o(Buyerl 5(qnamre a/BUyer2/Spouse
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LastSdigifso�Buyer2/SpouseDriver's 5[a[e LastSDigi[rofSocialSecurity
Lirense/lD/OfherNumber Num6er Lirense/lD/OtherNum6er �