HomeMy WebLinkAboutHomestead_Tenbarge (12)Don Dowell Manaaer
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507 N Green River Roatl DirQCt Ttl= Insurance Aaenci Inc
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Evansvilie IN d77�5
_ Non. e u cypea.¢on cnnveyance
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ify [hat this Sales Disdosure, w tbe best of my }mowledge and belief, is true, wrrect
prepazed in accordance with IC 6;1.1-S.S, "Rea1 Prop�rty� Sales Disr]osure Act".
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'IHE S1IFS OLSQ.OSVRS FORM fdAY BE USED TO APPCY FOR �ITAfY UmUCTI0A5 FORT1�5 PROPERIY. 1DINIIFY,LLC OF THOSE THAT APPLY.
� ❑ 1. WiII this proper.y be the buyer's priaary
residence? Provide complete address of primary�
residence, induding counry:
i24�ey SovcH 20o E.
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HAVBti7AOr ��,I N763y ��gSON
Ury, Smu 2lPCcde �unry
❑ � 2. Daes ihe 6uyer have a Fomestead in Indiar.a to be
vaca.ed for this residence? Ifyes, pro�dde
complete address of residence being vacated,
including county:
.wa.nslNV.,i6er o�asre�q
ad smrzrrcoer �.,nry
� ❑ 3. Homestead
Sys:em
5. Wind Power Device
❑ � 6. Hydroelectric Power Device
❑ Q 7. Geothermal Ener� Heatng/Cooling Device
❑� 8. Is chis property a residenaal rental property?
LI 9. Would yov like co receive tax statemencs `or this
property via e•mail? (Provide con mct in%rmation
below. Please see instructions for more informaaon.
Notwailobl in a!1 counties.J �
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Under pe¢alties of perjury, I hereby certify thai this Sales Disclosure, to tbe best of my Fmowledge and betief, is true, correR
and complete as required by law, aad is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse informadon, Social Security and Drive�'s License/Other numbers are not necessary if no Homescead Deductioa is
being filed.) O �
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