HomeMy WebLinkAboutHomestead_HeusmannSalevDtttlnture
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Seller 2- Name as oppears on romeyanre dxummt -
Addrns (Number and Sbeet)
Lade
Under penaldes of perjury, I hereby certify [hat this Sales Disclosure, [o the best of my Imowledge and belief, is true, correct
and com lete as required by law, and is epared in accordance with IC 64.1-S.S, "Real Property Sales Disclosure Act".
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FORM MAY BE USED TO APPLY FOR CEAT.11ti DEOURIONS FOR
❑ 1. Will this property be the buyer's primary
residente? Provide complete address of F
❑ [T� 2. Does Che buyer have a homes[ead in Indiana to be
vaca[ed for this residence? If yes, provide
complete address of residence being vacated,
induding couq[�C�
vi
Addr�'(A`umbernnd5uxt) �
Ci.y, Sm.e LPCOdt
Counry
Sjgnamreo/Sei/er
PdntaiNameo Seller
CT,IONS�ID TIFY �
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Bvyer 2- Nome as oppenrs on
Addren (Nu� 7�S/nret)
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�[c� Wind Power Device
�. Hydroelectric Power Device
. Geothermal Energy Heating/Cooling Device
+ Is [his property a residenrial rental property?
9. Would you like [o receive tax statemenCS for this
property via e-mai]? (Provide contact information
6elow. Please see instrucdons for more informadon.
Notavaila6le in all coundes.)
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Pn:mary0rnce+�Y o�+'+��mn:oc. name E-mail
Under penalaes of perjury, t hereby cer[ify Ihat this Sales Disdosure, to the best of my lmowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-11-S.S, "Real Property Sales Disclosure Ad". (NOte:
Spouse inf�ad9n�ocial Security and Driver's License/O[her num6ers are not necessary if no Homestead Deduction is