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Homestead_CornINDIANA-SALES DISCLOSURE FORM SDF ID: Page 2 r.D.PREP&REK LVC- -,epa,er of the Sales 0 am Form Title - J1,06zi dedrm�'umber . a d Street E-mail n 1' a Corr Seller I - Name as appears on conyZaace document C- 'D os Seller 2 - Nome as appears on conveyance document j0/l-). L 11�171,e,andStreet) a "t IL�' , "/,, Address (Number and Street) Telephone Number Email Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and c m I te as requi . red by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". Agra reo /Seller aure of Seller Printed Namr, Set ler --- Sit. Date MM DD Printed Name ofSeller Sian Date (MMIDDlyYyn F. BUYERS )/GRANTEES f---APP-CtC-ATION FOR DEDUCTIONS AND CREDITS - IDENTIFY ALL ITEMS THAT APPLY 7-,F_ /7 ., .1 44- G D ,— P, ,rl--_ Name as appears ...m,q.atedmu,a. — Buyer 2 - Name as appears an conveyance document heron Street) -A Address (Number and Street) I Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP "" �NOSE THAT APPLY. YES NO CONDITION YES � NO CONDITION ❑ 1. Will this property be the buyer's primary (:J ❑ 3. Homestead residence? Provide complete address of primary _V �.eating /Cooling System residence, including county: ❑ [D'� S. Wind Power Device ❑ (�6. Hydroelectric Power Device Address (Number and Street) E] E / 7. Geothermal Energy Heating/Cooling Device City, S, Code County- Deductions. ❑ 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide complete address of V8. is this property a residential rental property? residence vacating, including county: ":�"/ -3-/ / - 9c'o 000 1 006 Address (Number and Street) Cio,StateZIPCods County 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". - A.4 , L� o� Printed No., of Buver 2 Sian Dart (mmloDIYYYY) CI M