Homestead_HessINDIANA SALES DISCLOSURE FORM SDF ID: I f I Paop 2
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Address (Nunubi, and Street) Company
City, Stmzt, and ZIP Code Telephone Number
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Telephone Number E-mail
Telephone Number E-mail
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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
and t s reguu y 1 4, and is pre accordance with IC "Real Property Sales Disclosure Act".
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Prin arse Sell Si 94 InUV UNMA D pruited! Name fSeller Sim Core LxMTD/ffM
Y-5UYER(S)/GRANTEE(SJ - APPKATION FOR PROPERTYTAX DEDUCTIONS= IDENTIFY AIXITEMS -THAT APPLY.
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Buyer2 - Nonious appears on conveyamdocunicur
Address (Nu.bermidS
tly f,- rA - Tit) d), Li I I ,o
Address (Numbffonu!Street)
City, Seam, and ZIP Code
Telep hone Number Email
E-mall
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT
YES NO CONDITION 111-s�
❑ 1. Will this property be the buyer's primary
3.Homestead-)
residence? Provide complete address of primary
—Q—tr-T.-Solar Energy HeaVnVCooling System
residence, including counV:.
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[J S. Wind Power leage
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6. Hydroelectri, Power Device
Hydroelectric
wee mber 37
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7. Geothermal Energy Heating/Cooling Device
8• is this property a residential rental property?
City, State VP Cod, I County
❑ EP 2. Does the buyer have a homestead in Indiana to be
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 instructions for more information.
Not available in all counties.)
Address (Number and Street)
City, State VP Cod. County
I
Primary prop" ovmcaonmtt name Einall
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". (Note:
Spouse information, Social Security and Driver's license/Other numbers are not necessary if no Homestead Deduction is
bpfiled.)
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S(qnuar eufBuyer2Apn
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579. Date (MMIDD117M Printed Legal NamefBoyer 21SPouur sign Dote CKWaDlyyyy)
Last 5 Number Last 5 digits oflityer2l5poixie Drivers State Last 5 Digits ofSodal security
Lic it/1010ther Number Number License171)10ther Number