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HomeMy WebLinkAboutHomestead_Reed (10) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER , • Preparer of the Sales Disclosure Form Title a72 A) 75. Address(Number and Street) Company nef,OC er birt/. a 7L 70 8a 38G 777 City,State,and ZIP Code Telephone Number E-mail E.SELLERS)%GRANTOR(S) /44-AV l - DRY Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 325 s1 'iis/s7. Apr. /32 Address(Number and Street) Address(Number and Street) / hdc e?oit) , nl - c/76 7eD 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Selle ar Signature of Seller MAre y 1 - e4 Y o//ae12e Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYI) .FH3UYER(S)/GRANTEE(S) APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY+ALL'ITEMS:THAT APPLY:' .. ti %H REen Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 5n5g AI /95-0 Rtvi) Address(Number and Street) Address(Number and Street) mT cAPpcJirc, /L 6zeo03 Telephone Number Email 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 J[ ' ❑ 1.Will this property be the buyer's primary El ❑ 3. Homestead residence? Provide complete address of primary ❑ fg 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ [ 6.Hydroelectric Power Device ❑ [ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County p [X 2.Does the buyer have a homestead in Indiana to be ❑ $• Is this property a residential rental property? vacated for this residence? Ifyes,provide ❑ p 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) City,State ZIP Code County d 10_I _ ) -aci I 000 577 6a8 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.) • �� -- Signs re ofBuye 1 Signature ofBuyer2/Spouse Fffr (?-41) Number License/ID/Other Number • wl \