Homestead_MehringerINDIANA SALES DISCLOSURE FORM SDF ID: yd ... 7
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8dilgat Berlin
Seller - Name ts, appears on conveyance document
SeIIer2 - Name m appears on conveyance document
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Address(NumberandSreen)
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City, State and ZIP Code
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Under pen !ties of t this Sales Disclosure, to the best of my knowledge and belief, is true, correct
, perju reby certify that
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and o �t 7eq ed aw, III prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
signa Jsdler Slgnarure of Seller
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Prfnt.d Name A&d4,_ Sign Dow (MMIDDIffM Printed Name ofSeller Sign Dow (MMIDDIYYYY)
-F.. RS GRANTEE , -,',kPP,LIC-ATION-,F,O R:�PROPERTY�TAXIiED-UCT*Wj."-fDEN-T4- LLITEMSTHAVAP.PLY'i,_,
or Donn B. Mehringer
Melody C. Yonts
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Buyer! -Na �.nconueyonced.curneet
ZZ4 7d;;ment
Address (Numbet, and Sweet)
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IN 47&5e'q
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES - NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary
a, ❑ 3. Homestead
residence? Provide complete address of primary
El D / Solar Energy Heating/Cooling System
residpnce, including county:
El Q/� S. Wind Power Device
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Address (Number and Street)
1:1 ED' 6. Hydroelectric Power Device
❑ �7. Geothermal Energy Heating/Cooling Device
XCity, mteZIJaCode County
F-1 2. Does the buyer have a homestead in Indiana to be
❑ Is this property a residential rental property?
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vacated for this residence? If yes, provide
❑ Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
I n county:
below. Please see instructionsfor more information.
= 7 ,
Not available in all counties.)
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, 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
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Signature V SignaturtBuyer2lSpov U
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nn R Mphringer 12-6-10 Melody Q Yonts 12-6-10
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