HomeMy WebLinkAboutHomestead_Neidighy
WDIANA SALES DISCLOSURE FORM SDF ID:
ary,
�
u7t� �o
75ue
Email
on
U�Lo7�
Under penalties of perjury, l hereby certify that this Sales Disdosure, to the best of my Imowledge and belief, is true, correct
and cqI ptete as required by law, and is prepared in accordance with 61.1-5.5, °R operty Sales is sure Ad".
�t��Q C `T3 eo�..��z.o- �
AgnoN2o(Shcc / � / Shcn
S A-�'T, � ��C �P S�1�1 �'�Dll�i I -�� �� f S ZP i2i i3a�
(Numbaand5treet)
��i n(�.1 �'1 1f� �i 7 L� ?�
THE SUFS DISO.OSUPE iORM MAY BE USED TO APPLY i0R QRTAfN DmUC170N5
1. Will this property be the buyer's prim
residence? Provide complete address
residence, including tounty:
AAdres(NUmbvandStrea)
Ciry, Smte7JPC Caunry
❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vanted,
including rouniy:
Addres (NUmbn and SUre[)
Clry, Smis9PCadr Counry
IDENT(EY ALL ITEMS THAT ICRPLY-:"-"�".
MPLY.
� ❑ 3. Homestead �
❑ [�- 4. Solar En eadng/Cooling Sys[em �c1D
❑ [� 5. Wind Power Device ^ db
❑ [� 6. Hydroelectric Power Device 3�
❑ [�- 7. Geo[herma] Energy Heating/Cooling Device
❑ [� 8. Is [his property a residenbal rental property?
❑ � 9. Would you like to receive ta�c s[atements for this
property via rmail? (Provide conmct informadon
below. P(ease see instrvctions
�.�
o?G-/a -/� /a/- OOD. '7� -�i'- 6a b�
name Email
Under penaltles of perjury, I 6ereby certify that this Sales Disclosure, to the best of my knowledge and belief, is trve, corred
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac['. (Note:
Spouse information, Social Security and Driver's Liceuse/Other numbers are not necessary if no Homestead DeducROn is
being filed.) ,. � I . . ^
� p,. _ d� ,. �
Lirense/ID/Orher Num6er
z�s�
Number Licenu/ID/OtherNUmbe,