HomeMy WebLinkAboutHomestead_ReddingINDIANA SALES DISCLOSURE FORM SDFIDA6-d00/- I/)60902 .< 1�5� K'ave2
D.PREPARER. .'
Preparer aJthe Sa{� D (osur arm ntle
Add (Number and ee[) Company
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City, State and ZIP Code Telephone Number Email
E. SELLERS GRANTOR S
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Sel r1 -Name as app an con ace document
Seller 2- Name as appears on conveyance document
Adams NumbZtree[) C ��
Address (Number dStreet)
E -mail
Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge belief, is true, correct
and complete as re uIT�d la v, and is prepared in acc � dpnc Yvith IC 6.1.1 -5.5, "Real Property Sales 'closure Act ".
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SignatureofSeller
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Printed NameotSeller aDoae MM D Printed Nameo Seller S/ nDare M.N DD
F. BUYER TEE S - APPLICATION FOR 'PROPER AX DEDUCTIONS= IDENTIFYALL ITEMS THAT APPLY
u eri- Nameas appearso c •vcvmcedocument
Buyer Z - Name aYO ears on roovryancedocument
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dress (Numberand Street)
Address (Number and Street)
City, State and ZIP Code
Tele hone Number E -mail
Telephone Number Email
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION NO CONDITION
[9/� ❑ 1. Will this property be the buyer's primary
❑�❑ 3. Homestead
residence? Provide complete address of prima
[ 4• Solar y Heating /Cooling System
eside�ce, including county:
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5. Wind Power Device
❑ f—Y/
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❑ Lr� 6. Hydroelectric Power Device
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❑ [t� 7. Geothermal Energy Heating /Cooling Device
❑ Is this property a residential rental property?
City, SwwZIPCade Counry
Fl 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
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El 01' 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 instructionsfor more information.
Not available in all counties.)
/61^ � /y V /V— AO �
Address (Number and Street)
Ciry, Since ZIP Cod_ County
Primary property ownerronfact name Email
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
being filed.)
signatu Buyer] s S7gnawreof6uyer2 1SPOUSe
Prin Legal Name ofBayerl sign Dow(MM/DDATM Printed Legal NameofBUyer2 /Spouse Sign Dare (MM /OD/YYYn
Number Last 5 digits DfBuyer2 /Spouse Driver's State Last 5 Digits DfSocial Security
License /ID10ther Number Number License /ID /Other Number