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Homestead_Garner INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPIARER - . . . . • ecitgGLCI -7- mac//rie'//j (`c_ 6 s-/ 7.eiiF� Prepererofthe Sales DisclaSe Farrn 5330 KO6c` --, $ 75tle Add (Numberar Street) /f��� �7 ..../2-C (/79 S///LG f'- /✓ (1--7 Company a 7/� (52iz— V76'-120 7 7 City,Sate and ZIP Lad: Telephone Number E-mail E:SELLER(Sy/GRANTOR'(S) • /7z/-7I 7)- 719.Cf/,)ti✓/0 6'c// /fl%,e/ £S9 ht. ,ox-e/Ds,io.g/''y seer!„Name asap onco veycnce document Seller 2-Name as appears an c9nveyance document 1yy l� ecc,co C r 5' VY rz/• aeczi/p4e. c_ crr Tess(Number and Street) �– // Addr umber and Street) �-, j,/ c,�/// Z7 /7& 70 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comple a as requir d by�}v,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclose rre Act". iL f d Gf/743 -Arnatara/ - e>toAdtAdDaug f. . 4117/13 azure ofSeller Signature ofSeller //C/7 P- - . . e ie /7J 'J /94r'/sr4 feF_iDf///i/-- 416,, oVAActl? Prin =- ame ofSeller Sian Date(MM/D• -• Printed Name o(Seller - Sign Data(MM/DD/lYr(j ..:DYER -GRANTEE APPI:ICATION:F.ORzPROPERTY.T• ' IEDUCTIONS=.IDENTIF.Y.•ALliITEMSM.THAPAPPLY. •' • 'C.'i/1/47H 7- 6- 4.c,I EX - - toyer!-Name as appears on conveyance documen Buyer 2-Name aaipp ars on conveyance document S — milt — Address(NumberandStreet) Address(Number and Street)CS / _ T //X/7o . a ® ( Telephone Number E-mail THE S A L E S DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTHISP i•• ;...• r • -- - -•SE THAT APPLY. YES NO CONDITION - YES NO CONDITION ©"..111 1.Will this property be the buyer's primary Er...--❑ 3.Homestead residence? Provide complete address of prim. • • 4.Solar Enera -•...g/Cooling System V' / ; rcesidence including county: 7 7 W, 4 Leit/J>nee Cr— ❑ �G/S.Wind Power Device Address(NumberandStreet) ❑ L7 6.Hydroelectric Power Device ly/t✓«�,A!. T. 477.- 70 6/4sn,L/ City,State ZIP Co^e County ❑ ,_�/ 7.Geothermal Energy Heating/Cooling Device ❑ • 2.Does the buyer have a homestead in Indiana to be ❑ LJ� Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Ll 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) /09 l /Q-50 3– 4• City,State ZIP Code County 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'• orma.on,Social Senn/'- . .d Driver's Lic se/Other numbers are not necessary if no Homestead Deduction is be'.g , f / K / r 40• �r ' ea:. /7/? \ azure of BVyerl / Signature of 116,732/5 ovtp e 1 2 h£K/ p, G/,L/L/f/c, O/74i.7 ® Number License/ID/Other Number 1Av,A`` 1 •