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Home My WebLink AboutHomestead_TyreeINDIANA SALES DISCLOSURE FORM SDF ID: page 2 D.PREPARER 770'Te,rrA u�K P,Mthe Sal, Disclosure Form Title ALrl"(t/ Company /l e ._/ L CO �// / City, State, and ZIP Code Email E. SELL R S GRANTORS If S BUYER 2 - THE ITEMS Seiler BE COMPLE] f ler I - Name as appears on conveyance document " Seller 1 - Name as appears on conveyance document i /Pa5 157;11 sT Address (Number and Street) Address (Number and Street) 1,4N11,e114C e v/ //e -Z/ 6,x513 9 City, State. and ZIP Code City, State, and ZIP Code Telephone Number E -mail Telephone 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 co ple as p� /tired by 1 and 's prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". Signa eo Seger s Signature of5eller printed Name o Seller Si nDo Im Printed Name o Seller Sin Date (MM a -m/DD F. BUYER(S)/GRANTEE(S) - APPLICATI FOR PROPERTY T IONS= IDENTI ITEMS THAT APPLY z M r d Ker B r - Nameasappmmo coaveyancedocu Buy, 2 -Name as appears on conve�yo document dresr Num erand5treet) Address (Number and Street) �rCA?_U0 ( C r;n � ( E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR IS P HOSE THAT APPLY. YES NO CONDrrION YES NO CONDITION ® ❑ 1. Will this property be the buyer's primary ® ❑ 3. Homestead residence? Provide complete address of rima rgy Heating /Cooling System residence, includine county: Zz2 k. M,(( SI` of ADDRESS MUST BE ❑ S. Wind Power Device Address (NUm6er and S[ree[) CO \1PLETED ON ALL 6,'650,1 ❑ ® 6. Hydroelectric Power Device �Af(jaaC,f4 1_. 1766 DISCLOSURES ❑ ® 7. Geothermal Energy Heating /Cooling Device City Stow Zl Code (NO EXCEPTIONS) County ❑ ® 2. Does the b- Ina to be �1�77 E] YJ 8. Is 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 information including county: below. Please see instructions for more information. Not available in all counties.) 66 i dos Lie) 7 Address (Number and Street) City, State ZIP Code County Primary property owner contact 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.) y� SignamreofBvyerl 9 Signature o uyer2/Spouse dot Jig - /�, CMG% 13�kPr S—1 /— 1/ �� / - Social Security License /ID /Other Number Number License /ID /Other Number ` IF THE HOMESTEAD BOX IS CHECKED & THEY HAVE NOT COMPLETED THE 5