HomeMy WebLinkAboutHomestead_Van AntwerpINDIANASALES DISCLOSURE FORM
KeIN E. Norton Clos
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101 Plaza Easf Blvd. Ste. 102 Trve Title Service. LLC
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Hnmer V HNfarhor I porthv F Hulfachor
Selkr7 -Name as aypean an ronveyan�e docvmm[ SdIQ 2- Name as appmrs mi cnnveynrsredttvmmc
10045 S 400 W
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FoR Branch IN d7648
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10095 S 400 W
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Under penaldes of perjury, l hereby cerdfy that this Sales Disdosure, to the best of my knowledge and belief, is true, correcc
and comple[e as required by la , and is prepared in accordance wit C 64.1-5.5, "Real PrOper[y Sales Disclosure AcC'.
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Homer V. H�Ihchor �I � ��O'1' �j,lyF. Hulfachor 4f �(G� � �
BuNer 1- Nam�u
7NE SALFS DISdQSURE FORM MAY BE USED TO APPLY FOR �RTAM
1. VJill this property be the buyer's primary
residence? Provide complete address of F
residence, including county:
Atld2v (NUmDer anE Sara)
Fort Branch I 7648 Gibson
C1ry,SmteZIP e Camry
❑ 2. Does the buyer have a homestead in Indiana to he
vacated for this residence? Ifyes, provide
complete address of residence being vacated,
including county:
Addlm (NUm6c and SueetJ
CYq;SmrellPCaEe
]- Name aroppma en rortvsyvnn dacummt
Mdrm (Number and SLeet)
Ci.y, Sm[p and9PCode
APPLY.
Q ❑ 3. Homestead
� Q 4. Solar Ener eating/Cooling System
i� n S�w ower Device
6. Hydroelectric Power Device
U U 7• Geothermal Energy Heating/Cooling Device
❑❑✓ 8. Is this property a residentlal renral properry?
❑ QJ 9. Would you like to receive cax statements for [his
property via e-mai!? (Provide conmct informatlon
below. Please see instrucdons for more information.
Notavailab(e in all countles.J
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Under penalties of perjury, l hereby certify that ffiis Sales Disdosure, to the best of my knowledge and belief, is true, corred
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse informauon, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deducflnn is �
being filed.J � /- .
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