HomeMy WebLinkAboutHomestead_KassenbrockDISCLOSUREFORM SDFID:
CLOSING AGENT
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BOSSE TITLE CO
U'ry, Sm[e, andZIPCWe ielephone Number
B�AKE WWTERNHEIMER AMANDA WINTERNHEIMER
Selfer I- b'ame as appears an ronveyvnm documm[ SeIler L Name as appean on ronveyvnre dacumrnt
116g5 S HONFYCUCKLE W 17Fi55 S HONEYSUCKI F LN
Add� (NUmberand Sveet) Addrea (Number aM Sbre[)
HfALIBSTAI�T IN 47fi39 HAUBSTADT IN 47639
E mail
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, to [he best of my knowledge and belief, is We, wrrect
a� ��� re ed b aw, and is prepared in accordance w� h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Ac[".
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^,1 reo(Se/ler Signanireo(Seller ,
Buyv 1 - Name as
EVANSVILLE IN 47725
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THE SALFS DISCLQSURE FORM MAY BE USED TO APPLY FOR CERTAIY DEOURIONS FOR TNIS PROPERTY. IDEMIiY ALL OF THOSE TNAT APPLY.
Q � 1. Will this property be the 6uyer's primary
residence? Provide complete address of primary
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�� 2. Does the buyer have a homestead in indiana [o be
vaca[ed for this residence? If yes, provide
complete address of residence being vaca[ed,
'���� includin,g,»coun : y,d
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❑� ❑ 3. Homestead
� Q 4. Solar Energy Hea[ing/Cooling Sys[em
� �✓ 5. Wind Power Device
� Q 6. Hydroelec[ric Power Device
❑ ❑✓ 7. Geothermal Energy Hearing/Cooling Device
� �✓ 8. Is this proper[y a residentlal rental property?
❑ 0✓ 9. Would you like [o receive ta�c s[atements for this
property via e-mail? (Provide contact in(ormation
below. Please see instructrans for more in%rmation.
Notavaila6le in all counties.)
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Pdmarvmm�ertvawnermnrucmame E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Soci�ikecurity and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
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