HomeMy WebLinkAboutHomestead_Kerney, INDIANA SALES DISCLOSURE FORM
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Seller d- A'ame as cppears an conveyance docummt
hddress (Number and Srttt)
Ciry. S[at=. and ZlPCode
that this Sales Disclosure, [o [he best of mp knowledge and belief, is true, correct
and i prepared in accoFdance wi[h IC 6-1.1-S.S, "Real Property Sales Disdosure Act".
Signamre o(Seller
Pnn:ed Name o/Si
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fs ay�mrs on convtyana documed Buyer 2- Nome as a➢Pears on convtyantt doa�menc
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THESALESDISCLOSUREFOMiMAI'BEUSE�TOAPPLI'FORCERTAINDEDURIOX TNISPROPEftTI'.IDESTIFI"ALLOFTH TFUTAPPLY.
1'ES KO CO\DITIO\ I 1'F3 �O CO\DITION
�❑ 1.1M1+ill this property be the buyer's primary f,� ❑ 3. Homestead
- --'----- --�-residence?-Pro��detompleteaddressofprima � � -- ' , - - -- ----- - '�
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U 4. Solar Ener ating/Cooling Syscem
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dress(NumSer dsP«.� ❑ � 6. Hydroelectric Power Deaice
n"'�� � ❑ i,�j' 7. Geo[hermal Energy Heatln;/Cooling Device
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❑ I� 2. Does the buyer have a homestead to be vacated for � �$• �s this property a residential rentat property?
this residence? If yes, provide complete address of
residence vacating, including county:
AdCress (NUm6er cnd Svee:)
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Under penaltles of perjury, l hereby cer[ify that [his Sales Disdosure, m the best of my knowledge and belief, is true, correc[
a c plete as requir d y law, and is prepared in acrordance wi[h IC 6-1.1•5.5, "Real Properq� Sales Disclosure Act".
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Siy^ncmrtoBvv��1� _� ^ Signa[vreo(Buyer?
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