HomeMy WebLinkAboutHomestead_LawsonINDIr1i�A SALES DISCLOSURE FORh1 SDF ID: .Pa e 2
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Sel!er 7- A'ome as appean on canveyante dotvmen[ '
�-(��/� a� r_�� � oe
daress (Num6er cnd Svee[)
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Shcer 2- Name os appmrs an ronveyante docvmenl
Addrecs(Numberar.dSReet)
Ciry.SN[e, andZlPCode
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as requirPd by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Ad".
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�amre o(Seller 5(qnamre o(Seffer
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THE SdLFS DISCLOSURE FOR?7 JidY BE USED TO APPLY FOR CERTAIY
9uyer Z- Name as appears om m�veyance doacmmt
Addrets (Number anC Stree[)
Ciry, Srn�e, ondZlPCode
E-mail e e one Num6er
, vcvna RnPFRTY_I�E\TIFYA FTHOSH ATAPPLY.
� 1. Will this property be the buyer's prim�ry �
residence? Provide complete address oflp is�an��
residence, indudinqQ ,county:
E � C�un P •, JYt� (�cl� �:f�
�}/ ress(N• be: cnd5vee[J
�I��z r�e � rl+j tJ `I % Le l3 i��i �056}�,
Civ, S\m�te ZIPCOde Cour.n
� �/ � 2. Does the buyer have a homestead in Indiana [o be
�� vaca[ed for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrat (Numher and Street)
Cip•. Smte
Counry
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❑ 3. Homestead
Heating/Coolin� Sysiem
S. 4Vind Po�ver Device
6. Hydroelectric Po�ver Device
E-mail
7. Geothermal Enerw Hea[ing/Cooling Device
8. Is this property a residential rental properg,�
9. Would vou like to receive [ax sia[emena for this
property via e-mail? (Provide contac�in(ormacion
below. Please see instructions for more in(ormation.
Not available in aIl counties.)
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_ . . .. _- '_"_"_" E-mail
Under penalties of perjur}', 1 hCt eby certify [ha[ Chis Sales llisdosure, to [hebest of mV knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance u�i[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Sociai Security and Driver's License/Other numbers are not necessarypif no Homestead Deduction is
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Lcs.SdigibofBuyerlDriver's State Las[SDigrtsoJSoaclSerunryNum6er
, ._,_,,. nn m.�,e. N��mhar
Signvm�e of euye2/Spouse
Pnn[edLegalNamea�BuyuZ/Spovse SignDc:e(w.u/DD/rvn7
Las[SdigiLSO(Buye�Z/SpOUSeDnver's Sw[e Las[SDigivo(SociolSecunN
Nvmber License/ID/OrherNumber