HomeMy WebLinkAboutHomestead_Sierran lA\
TWA SALES DISCLOSURE FORM SDF ID: Page 2
R I tj S
a re p.,crufthe Sal Disclosure Form Title
1�kAtM ST SUITE R0"1 - T)� ,S
/7-a M11
Address (Number and Street)
&VAMS ►I I ir � Compaq
J g17108
E. SEL
ER S GRANTORS
Poqk0AJ
(JO-ST
Se /ler] -A'ame as appeo conveyance document
i
Seller 2- Name as appears on conveyance document
in
Address (Number cad Peet) I/
I In I
Address (Number and Street) -
uy, State, and ZIP Code -
Ciy, State, and ZIP Code
E -mail
I Teleahone Number ^ -mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and completa, as require by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
'n5 reafSell Signature of5ollc,
u T -18.09
need A'ameo Seller Sion ce MM/DD Printed ' .. eo Seller Sin DaK(MM/OD/ yy)
. BUYERS GRANTEE S -APPLICATION FOR DE UCTIONS AND CREI) S - IDENTIFY ALL ITEMS THAT APPLY
.� f1
x
yer 1 - Name es appfgrs on conveyance dacvment
Bu,' r 2 -Nome as appears on conveyance document
d ess(Ny\ran�ber and P"
5
dress , t
�1 7o3
�I c
cl Srate.aadZ PCode
`
c' mail
THE SALES DISCLOSURE FORM KAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH IS PROPERTY. I L OF THOSE THAT APPLY.
\ NO CONDITION NO CONDITION
Will this property be the buyer's primary
- 3. Homestead
idence? Provide complete address of prima
IV, System
( I 4. Sc l a eaig /Cooling
rest ence, incl 'ng county:
I la e -
❑ 5. Wind Power Device
❑ 6. Hydroelectric Power Device
Af'd.�^ss(,vum
er and {Pety - t
T&
❑ 7. Geothermal Energy Heating /Cooling Device
CiyS e Code County
❑ 2. Does the buyer have a homestead to be vacated for
❑ AR' B. Is this property a residential rental property?
this residence? If yes, provide complete address of
residence vacating, including county:
_
Address Street)
(Number and
City, Stace ZIP Code County
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and com le as requii e y I#, and is prepared in accordance with IC (§ 1.1 -5.5, " eal Pr pert Sales Disclosure Act ".
S + ^n ^ ^- •afBurer] t
05 -r &o9 SignctvcBVayer- � eoc. � ^
A�11C Sl Et2�'H s 0!914
Printed Nome o BuverI Sian Date (AWIDDIM Sign Date (ke/DD/YYYYI�