HomeMy WebLinkAboutHomestead_Dunn (9)INDIANA SALFS DISCLOSURE FORM SDF ID:
0.�4�r
PreparerojlheSalaDkd6mreFarm T' , /�— � �,,�� -
�ODID /viU,i(� S(-- �(,CiJ�S �=C�u� �iT1�i2
' Addras(A'um6erandSPeet) Com
E-mail
E.SELCERf51%GRANTORfSI` _ .. _ �,_::.x.' , _,..i; .. ... -.. _,_.::�:' . `'�i.i.._._ s .; �. r ");:{: -'_
fI
�Q `1C.ii" ^ L�G
Selfer 2- Nome ai apgenrs on conveyante document
Addras
��rys��� ��� �'/
Uoder penalties of perjury, t hereby cerd(y that this Sales Disclosure, to the best of my lmowledge and belief, is trve, corred
ana �complete required by law, d is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act°.
� �> a�C�, �..,�...� c� M--_ f��___._ - � , �.,�..� ��.,��
��gnapVeo Seller SlgnaNreofShcer
G{,yicf f}�clZ�so� �u,nn a 7- i� l,Lu,r,�a - C e1 �i� a 7- r[
� ��
—
THE S1LF5 DISdONitE FORM MAY BE USED TO MPLY FOR �RTAIN
'� ❑ 1. Wili this proper[y be [he buyer's primary
. residence? Provide complete address of primary
residence, including county:
S�u�o a� GiJ�w�e. � 3 3� u i o� E
❑ [� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
comple[e address of residence being vacated,
including county:
Add�as (h'umber and Sveet)
Ciry. Smte Z!➢[ode
Counry
as oppmrs on ronvryanre documm[
Addras (Num6rsand Street)
City, Sm[e, and Z/PCode
PROPERTY. IDENTIFY ALL OF THO58 TfNT MPLY.
� ❑ Homestead
❑ [�4. Solar Energy Heating/Cooling System
❑ [� 5. Wind Power Device
❑ �.6. HydroelecMc Power Device
❑ [L� 7. Geothermal Energy Hea[ing/Cooling Device
❑ � 8[s [his proper[y a residentlal ren[al proper[y?
❑ � Would you like to receive [ax statements for [his
proper[y via e-mail? (Provide contac[informodon
6elow. Please see instrucdons for more in%rmanon.
Not availa6le in all coundes.)
nome
E-mail
Uuder penalties of perjury, l hereby certify H�at this Sales Disclosure, to the best of my Imowledge and belief, is We, corred
and complete as required by law, and is prepazed in accordance wit6 IC 6-1.1-5.5, °Real Property Sales Disclosure Act°. (Nate:
Spouse infocmation, Social Securtty and Drive�s License/Other numbers are not necessary if no Homestead Deduction is
�:
( �. VI,L.iII� a�-7— 1 �
� Pr(ncedLegalNameo/BUyu1 SlgnDate(MM/DO/YYY17
�
Las[SdigirsoJBuyerlOriver's Srate LastSDigiuo/Social5ecuntyNum6er
License/l�/Orher Number
Signamrt o(BUyei2/Spouse
Pn'n[edLegalNameo(Buyerl/Spouse SignDax(MM/OD/YYY17
LastSd(qi[sojBuyer2/SpouseDrive�'s S[ate LastSDigi[rofSocinlSecunry
Num6er License/ID/OrherNum6er