HomeMy WebLinkAboutHomestead_Steiner INDIANA SALES DISCLOSURE FORM SDF ID: Page
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Preparer of the Sales Disclosure Form Title
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Address(Number and Street) Company
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City,State,and ZIP Code 4 Telephone Number mid pc vw t-1-ht •a'1 E-mail
E.SELA R(S)/GRANTOR(S). - -_ . 4 ,,:?� Yom" _-r - - �_
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Se ler I-Name as appears an conveyance document vj Seller 2-Name as appears on conveyance document
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Ad�dre�s(Number and Street) Address(Number and Street)
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Telephone Number Email
Undernanalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cgn plete as re 'r by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
SignaattulofSeller 1 , / ] /c Signature of Seller
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Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY)
F. BUYER(S)/GRAALT.EE(_._ c)- %PPLICATION'cFOR?PROPERTY TAX DEDUCTIONS-'IDEN;T(FY ALL ITEMS.PHAT;APPLY. _._ - -
'•me as appears an conveyance documen Buyer 2-Name as appears on conveyance document
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dress(Number and Street) A dress(Number and Street)
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THE.SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES O CONDITION YES/ No CONDITION
( ❑ 1.Will this property be the buyer's primary rrE( ❑ 3.Homestea
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
' I�G reside_ ce inclu ingcounty:
`i D L)Q St >50 �v-1/44,'-) ❑ ❑- 5.Wind Power Device
V Idress(Number and Street)I El Er 6. Hydroelectric Power Device
( 1 natO'n 1Jr1 L- 1 t17G v 1 (]R ❑ 13,----7.Geothermal Energy Heating/Cooling Device
City-State ZIP Code County
❑ C7 2. Does the buyer have a homestead in Indiana to be ❑ C�8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0V-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.
��VOt avoiiuble In aii Count
Address(Number and Street) °t 6 -//-d 5'.- 00 -000. 73 3 _
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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 information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.
Si Quire of Buyer; Signature of Buyer2/Spouse
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Number License/ID/Other Number