HomeMy WebLinkAboutHomestead_Dill (2)INDIANA SALES DISCLOSURE FORM SDF ID: PaLe 2 1
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Preparer ofdx sales Diw1asure Farm Title
Address iftmberamiStreet) company
City, C , SW tam and ZIPCode
'F-SELLERCS)/GRANTORCS),,.'��-*�-',-,'?"'---,--'.�,�'-�,-.,;��� I-- j::..
Sefler2-Ilmnewappearsonconveyuncedocumear
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15
Add�(NmnbercmdStrerl)
Address(NumberandStreel
.�po �/,T ,, -77
717 g/, 9
C7ty,SWb% and 4PC.de
Qty, Smtn; an d ZIP Cade
Tekphme Number- Email
Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
d I t quivd-b5FIpw,-a-ddais re ante with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
<�e>, Sitmature of
f
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Printed He= of5dle, Pte Seller Maift Date (MMIDDI)ITY)
GRANT -APPLIC -TAX DEDUCTIONS- IDENTIFY ALL ITEMSTHAT APPLY.
-'F. EEQ ATION FOR PROPERTY
!UYER
Buyer l-Nameasappeamoncanveyancedmmeat
Buyw2-Nmnemrapp=rsaamvyncedaeunmmt
41 a .gt—,y za
Address (NumberandStreet)
Address (Number and Street)
Chy,Stmv andZIPCode
Cloy Smtead.VPGde
DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT "PLY.
YES NO CONDITION
❑ 1. Will this property be the buyer's primary
❑ 3. Homestead
Tie�
residence? Provide complete address of primary
oar Energy Heating/Cooling System
residence, including county:
e 3 ,
❑ S. Wind Power Device
6. Hydroelectric Power Device
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❑ 7. Geothermal Energy Heating/Cooling Device
Cfty,SmwZ1PCadr County
F1 OK 2. Does the buyer have a homestead in Indiana to be
El 2//8. Is this property a residential rental property?
Would like for this
vacated for this residence? If yes, provide
❑ L/9. you to receive tax statements
`ma-iI7TPruw'dazQn
complete address of residence being vacated,
perry vi a IT tact information
including county:
below. Please see instructionsfor m7re4al_ormation.
Not available in all counties.)
s5i. -7 _00
-00-dOD -QQ/. ivb -00,V
Addrers(ft.berandStreet)
0tv&tateZ1PCodr County
y
name Ejadl
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge an �Blef, is 'true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
S7lmmmrrqfftyer1 Signature of Bayw2Apaase
hhPrinted Legal Name ofguyerl Mg. Date (XMID3;7r ) Panted Legal Name of Buyer 2 /Spouse Sgn Date (MMIDDItTM
-5) � . —
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