HomeMy WebLinkAboutHomestead_BakerISDI,�\A SALFS DISCLOSURE FORJf
Prtparer of Ne Salu D6damrr Form
N. Green
SDF ID SDO ID 720662
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Closer
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Trushvorthv Land TiUe Co. Inc
Page 2
' AddresslNUmberand5tre¢[)
E: SELLER S GRANTOR S ` � � ' ' � � - - -
Terty lafrate Mary A. lafrate
Shcer 1� Namr ¢s oypears an ronveyvnce docummt $d/er7 - Nartre osappevrs on mm'ryvnce Arcummt
2421 Winfield Drive
Addnss(Numbera�A
Evansville, IN 4772&
TNE SAIES DISCLQSURE iORM MAY BE USED TO APPLY FOR CERTAIN �EIlUCf10N5 i0R THIS PROPEP7Y. IDEMIFY AIL OF THOSE THAT MPLY.
U U i. Will this property be [he buyer's primary
residence? Provide complete address of E
residence, including county:
11070 S. RED BUD LANE
Address (Num 6er and SVee[)
Haubstadt, IN 47639
Gry,SmmZlPCode
GIBSON
Lounry
X❑ ❑ 2. Does the buyer ha��e a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
induding county:
10048 S. QUAIL CROSSING
AEdren (NUm6rs artd Street)
Haubstadt, IN 47639 GIBSON
Gry.5mceZlPCodt Counry
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3. Homestead
System
5. Wind Power Device
6. HydroelecMc Power Device
7. Geathermal Energy.Heating/Cooling Device
8. Is this property a residential_renWl property?
9. Would you like [o receive tax statements for this
property via e-mail? (Provide contact in�ormation
6elow. Please see instructions for more informatYon.
Not availa6le in all counties.)
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Prfmarvorocemownuronmttname E�mall
Under penalties of perjury, l hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is dve, correct
and complete as required by law, and is prepared in acwrdance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC. (Note:
Spouse informatidn, Social Security and Driver's License/Othe� numbers are not necessary ifno Homestead Deductioo is
being file . �� ` „ //
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