HomeMy WebLinkAboutHomestead_Rexing (11)' 1NDIANA SALES DISCLOSURE FORDt
D.PREPARER
SDFIU:
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� Pamela J Kruger loan processor
Preparer p�Nt Snlu Disdomrt Form Ltle
hwy 68 Elberfeld State Bank �
ner..�.�. (Num6e. ondSUre�)
E. SELLER(51/GRANTOR(Sl
Michael.Rexing
Shcer 1- Nnmt ns nppmrs om m�reyanre daumrnt
457 E 1200 S
AAAre.v(Nnmboand5nat) �
Haubstadt IN 47639
7e1eV�ureNm ber E 7
Under penalties of perjury, I hereby cerlify tha[ lhis Sales Disclosm�e, to the best of my luiowledge aud belief, is true, correct
and complete as required by law, aud is prepared in accordance wiUi IC 6-1.1-5.5, "Real Property Sales Disdosure Ad". .�
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- APPLICA
ric M Rexing
Bip�er I� Nemt es apn�^�s on co�
e er DR
Address(NUm eru
laubstadt IN 47639
- IDEWTIfY ALL
O�p�e.l . Namr ae oppmrt w ronveymtt documrnt
� Add�eu(Num6ernm15naQ ' 7i!
Ciq�. Smte. and Zli Codr
TIIE SALES �ISClOSURE FORM AIAS' BE USED TO A1'i'LY FOR CERTAIN DEDUCTIONS FOR TIII51'R01'ERtV. IDENTIFI' ALL OF TIIOSE TIIAT APPLY'.
1'ES . NO CONURION
� ❑ 1. Will [his property be the buyer's primarY
residence? Provide complete address of prim �
� �O / resid nce, indudylg coun[y:
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eer �um6r.onn,h <Q
�''� rar,ch /�/ �7(�5�� G �bson
Cip�. S<ah ZIPCade Caunry•
❑ � 2. Does the buyer have a homestead to be vacated for
Uiis residence? If yes, provide complete address o(
. residence vacating, induding county:
nddrrsi (Num6rr md Strtet)
f� NO CONUITION
c�i ;� 3.Hom=_slead
h eating/CoolingSystem . .
❑—� 5. lNind Po�ver Device
❑ � 6. Hydroelectric Power Device � �
❑ � 7. Geo[hermal Energy Heating/Cooling Devi�e �
❑ �� B. Is Ihis proper[y a residenlial rental property?
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Under penal[ies of pe�jur}', 1 hereby certify tha[ U�is Sales Disdosw�e, lo Uie bes[ of my Imowledge and belief, is true, con�ect
and complete as requ' d by�'�repared in accordance with IC 6-1.1-5.5� "Real Property Sales Uisclosure AcP'.
Signnmree� I Signoh�reoJB�ryer1 '
Cr�'r Rexi�nn 0°��0'��09