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INDIAVN /A SALES DISCLOSURE FORM SDF ID: Page 21
D .-PREPARER
Preparerofthe Sales Disclosure Form Tide
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Address(Numberan e [ - �� E Company
N ? i ST. , STE 500
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Cay Smm,and ZIP L Telephone Number Email
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E'SECLER S GRANTORS v
MARK R- THOMAS
- Sellerl- Nameas appears nveyace document
Seller 2- Name as appears on conveyance document
25 a C,1^`5+
A dress A'u berand5 [) 0
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Address (Numberand5tree[)
E -mail
Tele hone Number E -mail
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 require aw, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Ad ".
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Sature /Sel /er Signamre ofSeller
amen SC er Sign Dam MM/aa Prmami Nameo Seller Sign Date MM/Dp
-F.'- BUYERS GRANTEE APPLICATION .FOR PROPERTY-TAX DEDUCTIONS= IDENTIFY-ALL ITEMS THATrAPPLY
DENISE E. SHARP
Buyerl Nameas a� on con ceaavment
Bamr2 Name as appears on conveyance document
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SS IN and 5tre /•1 �� ^ tl UWD
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Address(Number and Street)
£ -mail
Tele E -mail
THE SALES DISCLOSURE FORM MAYBE USED To APPLY FOR CERTAIN DEDUCTIONS F IS PROPERTY. IDENTIFY ALL 0 T SE 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
4 q olar -fixer Heating /Cooling System
1016 res !/14udjxg county:
❑ S. Wind Power Device
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❑ 6. Hydroelectric Power Device
er n/d1So-eey��y
f, I
-7���
Jnaq KJm
1 \ l `j`j`JJt
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❑ 7. Geothermal Energy Heating /Cooling Device
❑ 8. Is this property a residential rental property?
City, tamZ Code•/ C. mly
El 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.)
n�- /L, , /r, g/,'/ �00
V 14_
Address (Number and Street)
City, State ZIP Code County
Primary property owner ronmct name E -mail
mar
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
bein 9 IT d.)
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fBuyerI [ Somature ofeuyer2/Spouse
Mreoni52 E �P Uq 10
Number Last 5 digits ofBuyer2 1Spouse Driver's State Last 5 Digits of Social Security
License /ID /Other Number Number License /ID /Other Number