HomeMy WebLinkAboutHomestead_NewmanINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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Addr�s (Numberand Street) Company
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E-mail
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Seller 1- Name as appears on conveyance document Seller 2- Name as appears on conveyance document
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Address (Numberand Street) Address (Number and S[reet)
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Tele honeNu� E-mail Tele honeNum6er E-mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
comple e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signatur Seller / SignatureofSelfer
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Prin me Seller Si n Da MM DD Printed Name o Seller Si n Date MM DD YYY
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Buyer ame as appears on conveyance document Buyer 2- Name as appears on conveyance dacument
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Address (Number and Street) Address (Num6er and Street)
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City, State,
E-mail Tele hone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
�❑ 1. Will this property be the buyer's primary ❑ 3: Homestead
residence? Provide complete address of primary eating/Cooling System
residence, including co nty: �
)/��� ��� �. � � 5. Wind Power Device
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Address Number,pndStreet) � � 7 �` � ❑ 6. Hydroelectric Power Device
Qi� 7�J ( /�r � � S� � 7. Geothermal Energy Heating/Cooling Device
City, ta[eZIPCode -� County
❑� 2. Does the buyer have a homestead in Indiana to be � 8• 1s this property a residential rental property?
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 rnformation
including county: below. Please see instructions for more information.
Not available in all counties.)
Address (Num6erand Street)
dCo-/o?-/er�- �o - aao7. /.30 -da�
City, Sta[e ZIP Code Counry
Primary property owner contact name E-mai/
Under penalties of perjury, l 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
being filed.)
Signature uyerl / SignatureofBuyer2/Spouse
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Printed Legal Name
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Last 5 digits of Buyer 1 Driver's State Last 5 Digits ofSocial Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits ofSocial Security
License/lD/OtherNumber Number License//D/OtherNumber