HomeMy WebLinkAboutHomestead_Glaser (3)��
INDIANA $ALES DISCLOSURE FORM SDF ID: Pa e 2
D. PREPARER - _ - { -tG?'t�' r.at�'' T � _
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Karen Harbison � VP
Preparvo(rhe Sales D'udosure Form TiUe
803 E State Rd 68 Elberfeld State Bank
Addrm (Number and Street)
E. SELI:ER S GRANTOR S ' :� -.f°r �'.`.f,=-�r`'._� � ��t �`�� `� ""�-=-�=�r � �=` ",
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_Paul F Glaser Jr
Sel rl-Nameasappmrsonconveyancedotvmmt Se0er2-Namearappeanonronvryancedarument
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� Addrm(NUmberand5tree[) � Addr¢s(A'umberandSbeetJ
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Under penalties of perjury, 1 hereby certify [ha[ this Sales Distlosure, to [he bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6Q.1-5.5, "Real Property Sales Disclosure Act".
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PauIF GlaserJr 02-26-2012
PnntedNam<a Shcu Si n Dare MM u0 PnncedNamea Seller Si n Date w.v/DD
sF3:BUYE E S =APPGICATION�F.OR=P,ROBER7'Y>TAX�DEDUCTIONS=•IDENTIF.Y€AI?L`ITEMS:THAT.APP.LY=:'� r ;„
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Buyeri-Na tasappea �onveyancedxument Bvyc2-Nameasappearsoneanveyancedo[vmmt
in Tr Dr
Address(,vvmberand5tree[) Addrm(Numberand5tree�J
HaubstadtlN 47639
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TNESALFSDISQOSUREFORMMAYBHUSEDTOAPPLYFOHCEIITAINDE�UGTIONSFORTHISP80PERTY.IDE OSETMATAPPLY. -
1'FS YO fAtiDIT10Y —CONDRION
Q ❑ 1. Will [his property be the buyer's primary � ❑ 3. Homestead .
residence? Provide complece address of p m ry � nergy Heating/Cooling System
residence, including county: � O
t2900 S Pine Tree Dr 5. Wind Power Device
Addreis(NumberondSVee[J ❑ � 6. Hydroelectric Power Device
HaubstadtlN 47639 Gibson � � 7.GeothermalEnergy Hea[ing/Cooling Device
Ciry, Sm[e ZIG Code launry
❑ � 2. Does the buyer have a homestead in Indiana [o be � � $• �s this proper[y a residentlal rental property?
vacated for this residence? If yes, provide ❑ � 9• Would you like to receive tax statements for this
comple[e address of residence being vacated, property via e-mail? (Provide tontact information
including county: below. Please see ins[ructions for more information.
Not available in all counties.)
AdCress (Number and 5[reet)
ab —z�-�4 -300 -oa�.si3-o�-y
Ciry.SmteZIPCoOe Caunry
Pnmarypropertyownmmnmccname Email
Under penalties of perjury, 1 hereby cer[ify that [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in actordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disdosure AtC. (Note:
Spo e information, Socia Secunty and Driver's License/Other numbers are not necessary if no Homes[ead Deducdon is
bei g filed.) �
Lgnamre af By�erl SignaNre o/Buyo2/Spouse
Num6er Litense/ID/OtherNumber