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HomeMy WebLinkAboutHomestead_Dunn (3)OR INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 678488 Page 2 WPREVARER'L---A Perkins Closer _,Holly Preparcruf theSaies DisclasureForat ntle N. Shadeland Avenue Hocker & Associates _7202 Addrw(NumberandStreet) Company Indianapolis, ndianapolis, IN 46250- Ciq; state, and Z1PCade Telephone Number E-mail The Secretary of HUD Seller 1- Name as appears an conveyance document Seller 2 - Name as appean an conveyance document 40 Marietta Street Address (Number and Street) Addruss(N.mber.adStreat) Atlanta, GA 30303 City. SW and ZIP Code City, State, and VP Code E-moll Tale hone Number E -mailU er penalties lif perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct perjury, I I 1 with .IC 6-1.1-5.5, "Real Property Sales Disclosure Act". anomp.lete afts"u W tra am" fSen SignaturrofSeller . \\all 01 C) YERI`S) .GRANTEE J '.,.-APPLICATION FOWPROPERTY,-T-Ax-DE22LI12- LiITEMSrTHAT. APPLY,- -'N Timothy Eugene Dunn Malynda Sue Dunn I -Name as ajC�gs�amveymr document uyer I Nam e as c"Pen m' 6uyer2 -Name asuppears veyawdoctanent Address (Number and Street) Address (Number and street) Oakland City, IN 47660- Oakland City, IN 47660- rBuyer IPC ro CI;y,Swm,mdZIPC.de CityStare andZIPCode An , Telephone Number E-mail Telephone N%��= —Email THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS F PROPERTY. FTHO AT APPLY. YESNO CONDITION YES NO CONDITION nx ❑ 1. Will this property be the buyer's primary mestead a O—El- �=nergy residence? Provide complete address of prima r/� r Heating/Cooling System residence, including county: ❑ FL] S. Wind Power Device 919 WEST DRIVE ❑ FL] 6. Hydroelectric Power Device Addrm and Street) (Number Oakland City, IN 47660 GIBSON ❑ KJ 7. Geothermal Energy Heating/Cooling Device F] © B.Isthis property a residential rental property? 0ty,StamZ1PQad, county E] ;E] 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide ❑ FL] 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 instructions for more information. Not available in all counties.) 1�t-100- /007-cm 6� V,�q- Addras (Number and Saw) City,SmtaZIPCod, County pmp�rrymunerrmzmetmnne E -mail Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledgeand 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 being filed.) c�, dt - ­,Lz;4 A, SignatureDf9t6WI signature v &ya,21S)I.use C) ai — I C) Security LicensellDlOther Number Number LicenselID/OtherMumber \fl