HomeMy WebLinkAboutHomestead_HookFORM SDFID:
�. Dean Hiaainbotham
Prcpanr ojthe SalesOlulowx Fwm
�08 East State Street
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Hiaainbotham Law Office
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Sella 1-Name as oppmrs am m�ve}nnce docvmmt
Se0er1 Nameasappmrsonronvryancedacument
18Afi W C R QSO S 2BAfi W. C.R 950 C
Addt�(Num6vand5treetJ - Addr�(NumbaandSbeetJ
_ Ft Branrh Indiana d7fi4A F1 Branrh Indiana 476dA
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Under penaltles of perJury, I 6ereby certity that thls Sales Disclosure, to the best of my knowledge and belief, ls true, correct
and������aN,�d�ared in accordance with IC,b�1,1-5.�^Rea1 rn�n7a.�rs c��e�ii�,.�.C7..v. ,.,..�
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Elber(eld Indiana 47613
Gry, Smtt ond IIP Code
DLSCLOSUItE FORM MAY BE USED TO APPLY FOR Ck]tTA1H
Q❑ 1. Will this property be the buyer's primary
residence? Provide complete address of F
residence, induding county:
' 2A8fi W R o50 C \
m era� trretJ
Ft. Branch Indiana 47648 Gibson
Ciry, Smtt LPUde Counry
❑./ ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? Ifyes, provide
complete address of residence being vacated,
including county:
�QS_E Ridaeview Street
Addr� (Nu mber and So-ert)
ElbeAeld Indiana 47613 yyam�
C(ry, Smte Z/PCode Comry
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SLite md IIP Ude
SYROPERIY. IDHNTfFYALLOPI' OSETNATAPPLY.
YFS NO CONDRION
� � 3. Homestea 2 �
✓ 4. 5 er� Heating/Cooling Sys[ertl I J
❑ Q 5. Wind Power Device I F�
❑ Q 6. Hydroelectric Power Device
❑❑� 7. Geothermal Energy Heatlng/Cooling Device
❑ Q 8. Is this property a residential renW I property?
❑ Q 9. Would you like to receive tax sfatementr for this
propercy via e-mail? (Provide contaa in/ormation
below. Please see instruc�ons for more info�mation.
Not avarfable in all counties.J
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.rwryproperryownercontac[rwm< " ' -mail
Under penaltles of perJury, 1 hereby cer[ify that this Sales Disclosure, to [he best of my knowledge and belief, Is We, rrect
and complete as reqWred by law, and ts prepared in accordance with IC 6d.1-S.S, "Real Property Sales Disclosure ". (Note:
Spouse rmatlon, Socl�j Security anQ Driy� s License/Other numbers are oot necessary if oo Homestead Ded on is
belne ftled. : ��, / / / , -. i�. .�� _ .
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