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HomeMy WebLinkAboutHomestead_Hyneman (12)INDIANA SALES DISCLOSURE FORM qe (i� �r�s% ��a�a-��i�-fZP. ��c� � `��� £-mail dree(NumberandStreeQ �r � nr e,-�n I(� �'I �v� D �� �� 1v Under penalties of perjury, I hereby certify tha[ [his Sales Disdosure, to the bes[ of my knowledge and belief, is [rue, correct and co�� [e as required by law, and is prepared in accordancl wi�C 6•1.1-5.5, "Real Pr rty Sales Disdosure Act". 4 � CA�.\,� Ic �.�� n Sveet) �� as appeors on Ad ras(NUmbe.andStree[J 1 `�1.(��(� {�nnC��bn Ir.l �1to?0 � TNE SALES DISCLOSURE FOR��f MAY BE USED TO APPLY FOR CERTAIY DEDURIONS fOR THIS PROPERTY. IDHATIFY ALL OF THOSH THTT APPLY. � ❑ 1. Will this property be the buyer's primary residence? Provide complete address of primary � residenc ncludin unty: 3l �i � a st � �c- �ie�--� �yddra's (Numbe� ond SVee[) �( T�rlflL�tUY�.. � `t��P�� �1b56� Gry m[eZIFCade Counry [V� 0 2. Does the buyer have a homes[ead in Indiana to be � vacated for this residence? If yes, provide complete address of residence being vacated, including county: l `�.) � .S� �.%s�ir . Sr / (Numberand5veet) Ciry.S[al¢ZIPCOde � Covnry ■ � � � � �� . n � i��q�ia 3 Homes[ea� 4. Solar Energy Heating/Cooling System 5. Wind Power Device 6. Hydroelectric Power Device 7. Geothermal Energy Heating/Cooling Device �Is this proper[y a residential ren[al property? . Would you like [o receive tax statements for this property via e-mail? (Provide contoc[ in�ormation 4elanaPl�� ca instructionsformoreinformation. Not availa6le in all � / ♦ Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[ and complete as required by law, and is prepared in accordance with IC 641-5.5, "Real Property Sales Disclosure Ac[". (Note: Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deductlon is bein,gfled.) ��� �� � ,�\ Las[ I LostSdigiGSa(Buyer2/SpouseDriver's Sm[e License/ID/OlherNumber Number Lirense/ID/O[herNumber' 'v