Homestead_Williams (11)%
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INDIA\A SALES DISCLOSURE FOR11
Vr<pnnr o([hr Sc/a Ou[lorv�� Form
337 Franidin St
SDFID
SDO fD �3�9�
Escfow Closer
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Center of Indiana
Ptge 3
nee.� �s�mt� o�d sv�..7 tomyo�y
Columbus, I� 47207-
Michael J Smilh
Shcrr 1- Name as appears a� mm�eyvnce duumen[
6827 S 500 E
ACdrcss (NUm.ber an050-eeQ
Under penal[ies
and copi0�ete�as
Williams
AEdrea (AVmEa ar.d SveeQ
Fort Branch, IN 4764&
Brenda K Smith
$rlle� 1. Name ar apOmrz an ronvryronn duumme
6A27 S 500 E
AEdrru (NUmEer and 5brtt)
Fort Branch, IN 47&48-
Ciry.Srn:t one ZIVCWr
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r��.�na�.N�me.. e-mo�i
by certify t�a[�ihis Sales Disclosure, to [he best of my knowledge and belief, is true, �orrett
and is prepared in attordance wjth IC 6-1;]-5.5„"Ije� Prope,ty Sales Disdosure Act".
-APPLICATION FOR
don�lr.rn�
2�I,� ,ign��N�.o,R��ii�,
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nmm+ -Or:n.H♦ n(4�
)PERTY TAX DEDUCTIONS- IDEP
Richelle Williams
Evyrr 2� Nomr oi o�
Ad�ress (Num6er ond StreeQ
Fort Branch. IN 47648-
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THE SALES �LSCLOSIIRE iON.N MAY BE USEO TO APPLY i0R CERTAIY DEOIICTIONS fOR THIS ]ROPERTY. IDE\TIFY ALL Oi THOSE THAT APPLY.
YES .\0 CO\OITION
XQ � 1. N'ill this property be the buyer's primary
residence? Providecompleteaddressofprimary
residence, induding county:
6827 S 500 E
am.�lN�Rw o�e sunq
Fort Branch, IN 47648 GIBSON
Clry.$(aRI COE[ GOYnp'
� � 2. Does the buyer have a homestead in Indiana to be
vacaced for this residence? I(yes, provide
mmplete address of residence being vacated,
includingcounty:
Addim /RUm�er eno SnertJ
Ciry. Smre [IP [aae Caunry
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Q � 3. Homescead
� Q 4. Solar Energy Heating/Cooling System
� Q 5. Wind Power Device
� Q 6. Hydroelettric Power Device
❑ Q 7. Geo:hermal Energy Hearing/Cooling Device
� Q B. Is this property a residential rental propem?
� Q 9. Would you like to receive tax statements for this
properry via e-mail? (Provide conmct in�ormation
below. Pleose see instructions%r more in(ormation.
Nat available in all coun[ies.)
a� i9-�.� -�oa . c�.9� o��
H�mary u�oo«b awner ccnma name E+nail
Under penaldes of perjury, 1 hereby terdfy that this Sales Disclosure, to [he bes[ af 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,'Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Sotial Security and Driver's License/Other numbers are not necessary i(no Homestead Deduction is
Lfcense//D/Oth<r Number
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Num6er License/ID/OthrrA'um6er