HomeMy WebLinkAboutHomestead_SwearingenINDIANA SALES DISCLOSURE FORM SDF ID: - P%^ 2
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MARYG'M A THOMAS SETTLEMENT AGENT
Pr,parer of the Sala Disclosure Form r– Title
03 THEATER DRIVE REGIONAL LAND TITLE COMPANY
® Addras (Numberand Street)
.;E SELLER S "GRANTORS
HERBERT E REED
DONNA F REED
Sellerl-Nameas appea
onffyynveyance
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Se ller2- Nameasyppearsoncomeyancedocument
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112u (U(L1,iJ
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Addras (Numberand Street)
Address (Number and Stree
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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
os mple�[e as required by law, and is prepared in accordance with I 1.1- 5 .5" Real Proper ale Disclosure Act".
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HERBERT E REED 1 0108/2 01 0 DONNA F REED 1010812010
Printed Name o SiQnD.te(MAf1DV1r911 Printed NameoTSNler. Sian Dow(.MM /DD
"F: R S GRANTEE S -: PLICATION,EOR- PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY e`
RYANASW RINGEN
Buyer Nameas appmrsanronveyanc acumen[
Buyer 2- Name as appears on conveyance document
S 400 EAST
AVdagU (NUm rand Sam)
Address(Numberand Street)
FRANCISCO IR17T349
I Telephone Number E -mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS .IDENTIFI'ALL ETXAT APPLY.
YES NO CONDITION YES NO CONDITION
n,( ❑ 1. Will this property be the buyer's primary
❑✓ ❑ 3. Homestead
residence? Provide complete address of primary
❑ 4. Solar Energy JHeng/Cooling System
residence, including county:
❑ ✓ In ower Device
1991 S 400 FAST
❑ ❑✓ 6. Hydroelectric Power Device
Address (Number and Street) �
1–'_
FRANCISCO. IN 47649 loll[ ?l(J�
❑ ❑✓ 7. Geothermal Energy Heating /Cooling Device
[J E) $ Is this property a residential rental property?
City; State ZIP Code County
❑ 2. Does buyer have homestead in Indiana to be
the a
vacated for this residence? If yes, provide
❑ ❑✓ 9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructionsfor more information.
at available in all counties.))
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Addras (Number and Street)
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City, State ZIP Code County
Prin property owner conmtt name E -mail
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 Ad ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
be g filed.)
Signature of fryer] Signature ofBuyer2 /Spouse
. rinted
Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security
License /ID10ther Number Number License /ID10ther Number
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