HomeMy WebLinkAboutHomestead_Hedges (3) INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2
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D�PREP.ARERI" .: _ -. a :'.s T.T—�_ --
Debbie Carpenter Customer Service Rep.
Preparer of the Sales Disclosure Form Title
6525 East 82nd Street,Suite 110 Statewide Title Company.Inc.
Address(Number and Street) Company
Indianapolis,IN 46250 317-806-7640 dcarpenter(av)shvdtitle.com
City,State,and ZIP Code Telephone Number E-mail
,,E;SEI LER(S)'XGRANTOR(S)'. --- — - _ . •-.Federal Home I non Mortgage Corporation
Seller I-Name as appears on conveyance document Seller 2.Name as appears on conveyance document
5000 Plano Parkway
Address(Number and Street) Address(Number and Street)
Telephone Number E-mail
Unde' - At es of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an r comp"• as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Sign, rbier Signature of Seller
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Printed Name a(Seller Sian Date M OD/1'YYn Printed Name ofSeller .. Sign Date(M.M/DD/rrr/I
F6jB YER(S))1G.'"NIlEE ):-.7 e ale c-,dONsFORyPRQPERTIY?TAX=DEDU.CTIONS'IDENTIF�YrAL'II ,TEhISiTHAT'APPEW, -
at - e - s, •i A 1 'YLO - S�SUS'G
Buy. I-Name as appears on conveyance documen , Buyer 2-Name as appears on conveyance Document
II3. ty Vine Sf-
Address(Number and Street) Address(Number and Street) •
COa kid l46& 6719 , 11\i Li 1 6 60 ..
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
[y ❑ 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:
« 3 w Vinf .St ❑ V 5.Wind Power Device •Address Number and St eet ❑ Ri 6.Hydroelectric Power Device
i c I /A L , ' 0 6.59% ❑ Q' 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
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❑ LK z•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) /p�����)
City,State ZIP Code County -����-� _ '� ^ COD, ���•, 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
bei f filed:) ��((
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S' am a (Buyer] I if Signature ofBuyer2/Spouse
��af��`� MPJIgn5 3 -21-13
Number License/1D/Other Number N\n\`
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