HomeMy WebLinkAboutHomestead_DamicoIND
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DON DOWELL
Preparer o(the Sala Dkdosvre Fom.
(kumberand StreeQ
Ttle
FIRST ADVANTAGE TITLE LLC
Ciry, SmtG and LPCode Telephone Num6er E-�a��
Seller 1�- M1'ame as appears on
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I ieleohone Num6er _ c-ma
Under pe Ities of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co p ete as r�ire y law, nd is prepared in accordance with IC 641-S.S, "Real Property Sales Disclosure Act".
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Sgnawre ofSelfer Signa[ure o(Shcer
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TH E SALFS DISCLOSURE FOIN7 NAY BE USED TO APPLY FOR CERTAi� DEDUCf IONS FOR THIS PROPERTY. IDEhTitY ALL OF TNOSE THAT APPLY.
� ❑ 1. N'ill this proper[y be the buyer's primary �
residence? Provide complete address of primary
residence, including county:
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Ad�ras(NUmberartdS�reey
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Ciry, Smte7JPCode Counry
� � 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number and Svee[)
Ciry, SmreZIPCOde
Counry
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U 3. Homestead
" 4. Solar Energy Heating/Cooling System
� S. Wind Power Device
� 6. Hydroelectric Po�ver Device
� 7. Geoihermal Energy Heating/Cooling Device
� 8. Is [his property a residential rental property?
❑,� 9. Would you like [o receive iax sWiements for [his
property via e-mail? (Provide contact in%rmation
below. Please see instructions(or more information.
Not available in a8 counties.)
a���3,�G� QoaG�ad.oG'�-o�t�
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Under penal[ies of perjury, I hereby certify [hat this Sales Disclosure, [o the best of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance wi[h 1C 6-11-5.5, "Real Proper[y Sales Disclosure AcY'. (Note:
Spouse informa[ion, Social Security and Driver's License/O[her numbers a^re not necessary if no Homestead Deductlon is
b ' fi(ed.) i ��
,Si am o(BUyerE � • � e�qn reo wer2/Spouse
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