HomeMy WebLinkAboutHomestead_Bailey (3)INDIANA SALES DISCLOSURE FORM SDF ID:
Address(NumberandS�TAL TITLE StMVIIJtJ. LLIi Company
19 N: W. FOURTH ST.. STE 500
Ciry,Sta[e,andZiP[ode �VAN�VILLE, IN 47708 Telephon�
KEVIN D_ PEVELER
Sellerl�Name appea on om�eyanredxvm t
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Liry,Smte, � �, . .
Under penalties of perjury, 1 hereby certify [hat this Sales Disclo
and c9mplefe as required by law, and is prepared in accordance
euyer 1� Name as appearsan
Smle, andZ/PCode
TNE SALFS OISCLOSURE FORM MAV BE USED TO APPLV FOR CERTAI� OEOUCf10\5
� � 1. Will [his property be [he buyer's primary
residence? Provide complete address of prim
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� � 2. Does the buyer have a homestead in Indiana to be
vaca[ed for [his residence? If yes, provide
complete address of residence being vacated,
includin county:
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best of my knowledge and belief, is [rue, correct
1-5.5. "Real Proo�e [v Sales Disclosure Act".
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Buyer2 - Name as appears on ronveyanre dacvmm[
Address (NUmber a nd SveetJ
Ciry, Smte,
APPLY.
3. Homestead
� 4. Solar Energy ting/Cooling System
� Q 6. Hydroelec[ric Power Device
� � 7. Geo[hermal Energy Heating/Cooling Device
� � 8. Is this property a residential rental property?
� � 9. Would you like to receive [ax statements for [his
property via e-mail? (Provide contoct in(ormation
belaw. Pleasesee instructions%r more information.
Not available in all counties)
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 64.1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduc[ion is
being filed.)
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LastSd{qi[sofBvyer]Oriver's State GastSDigiGSOfSotial5ecuriryNumber I LastSdigifsofBuyer7/SpouseDriver's Slute LastSDigiuo(Social5ecurity
License/ID/O[herNumber Number Lirense/lD/OffierNumber
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