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HomeMy WebLinkAboutHomestead_Edwards (2) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1767333 Page 2 iD:;PREPARER - ;' -"" _ c ,� irf 1--77 __ 7Z, , Holly Perkins Closer Preparer of the Sales Disclosure Form tide 7202 N Shadelarid Avenue Hocker&Associates Address(Number and Street) - Company _Indianapolis,IN 46250- 317-578-1630 holly.perkins©hockerlaw.com City,State,and ZIP Code Telephone Number E-mall aE:.SELLER(Si/GRANTOR(SJ" S A..:_"Frn.= .rte 't ni r' 9-.7r,° a., er ` 31; `T''T -f s,- --s .._. . The Secretary of HUD Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 40 Marietta Street Address(Number and Street) Address(Number and Street) Atlanta,GA 30303- Telephone,Number E-mail U..Jder p•naltie •f perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct I' -c•lete as eqpired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". • r t ,■a a='erii it'e: I a e Signature of Seller I Mi. ✓'-S y *fan P•'..-I Nn.P nrc.n.r cirn nmv e,nnrv'nn Pdnrbd Nam nradlrr eta-nr.e "tl.q"writ _FiBUYER'(S)%GRANTEE(S)jAP.P,CICATION,EDRPROPERTYTAhd)EDUCTIONS IDENTIF,Y;ALIi,ITEMS;THATAPPLY '_ Lincoln M Edwards Keely D 0ill\;-\-ti_- Buyer I•Name as appears on conveyance document Buyer 2-Name as appears on conveyance document _5752 W 250 S 5752 W 250 S Address(Number and Street) Address(Number and Street) Francisco,IN 47649- Francisco,IN 47649- THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 5752 W 250 S ❑ © 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Francisco,IN 47649 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZlPCode County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 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.) Address(Number and Street) 2 City State ZIP Code County �_ c ).l9-101 cvi. La (-M4 Primary property owner contact name 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 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.) �Lv1 / I ) 1'I Cia,_rta-r r / 1 I ) a Stature ofBuyart L ( WC `/ ,�/ 2 �I h t1JI YN PI EAL 1 O r t�S '7 43 Q e1\ OUSC II 1 L T �J