HomeMy WebLinkAboutHomestead_VieheINDIANASAI�S`DISCLOSURF.FORM $DFID:
D:PREPARER .
Frederick R. Folz
S}epa�e� o(the Sala Disclasure Form
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Bamberaer Foreman Oswald & Hahn
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Sellert - 'a � dorummt
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Addres(NumberandSVeeQ
Ha hctaril IN 47fi49
Under penalties of perjury, I hereby certify that [his Sales Disclosure, [o the best of my knowledge and belief, is [rue, correct
and complete as required y law nd is prepared in accordance with IC 6-11-S.S, "Real Proper[y Sales Disclosure Act".
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TAX DEDUCTIONS- IDENTIF7' ALL ITEMS
I-Nameas
THF. Sr�LFS DISCLOSORE FORM ��tAY BF. USED TO APPLY FOR CERTAIN UEOUCI'IOYS iOR
rES ao conoinoa
Q � 1. 4Vi11 this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Address (NUmber and StreeQ
Haubstadi IN 47639
Ci.y. S:a:e ZIPCode Counry
� ✓� 2. Does Che buyer have a homescead in Indiana ro be
vacated for this residence? Ifyes, provide
complete address of residence being vacated,
including county:
Address (NUm6er and 5[reet)
Cirv. Smte LIP Lode Counry
Buyer Z- Name as appenrs on ronveymre dorummt
Addrrst (Number and Svee[J
Ciry.Smtq andZlPCOde
APPLI'.
VFS VO
_ 3. Flomes[ead
4. Solar Energy�e t5ng/Cooling System
S. 4Vind Power Device
� Q 6. Hydroelectric Power Device
❑ Q✓ 7. Geothermal Energy Heating/Cooling Device
� Q 8. Is [his pr er esidential rental property?
� Q .�ould yo -ke to receive tax s[atements for this
C i e ail?(Provideconmctinformotion
w. Please see instructions for more injormation.
Not available in all munries.)
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name
E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, [o [he best of my knowledge and belief, is true, correc[
and complete as requircd by law, and is prepared in accordance �vi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
beiqgfiled.) /';
Number Gcense/!D/OtherA'um6er