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Homestead_Clore (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. ARER. y: ..r ._ . .. r; T:t. _L . .•).-•;;: i ';.- -.2. ... r --.7-_:! `., ` -. : ' `'... Pre9;II the Safes Dadosureform 3 - l b I Title �/ U\ - ' ta^� /•-b Address(Numbvandl�r/�`1.1.CYY_1 ��� `+" Pa a)-) ta4 t�1 JT`JW^lt City,Statoiicc and ZII PCCoaY a Telephone Number E-mail E.SELLER(S)'C RANTORS). r=: <a-,.a ; ' '; y- -`` felt.: 0... : . _AL., f Ma A Sommer Seller I-Name as appears on Co.?"Co nce document Seller l-Name• •pads on conveyance document ?lip 5 !so t y- P3�4/y�4,Alo. knrr,a.D- }dill n(Number pnd Street) +7� !0 AWI.(s D v and #85b Under p nalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co I e as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sian are fer (g attire S' a :• #; t1'� IS eta a-( v 0 rb ,4atn. Somme" o�l.S7' e Printed Name of Seller Sign••a(MM/DO/Yn» Printed Name of Seller Sign Date(MM/ooltm ) F?BUYER(S))GRANTEE(S .APPLICATION.FOR PROPERTYeTAX DEDUCTIONS;IDENTIFY ALL•ITEMS THAT'APP,LY_'_ ;°S;'s=,`-.z,..r 1iia V . Clove - Buyer 1-Name as appears on con veyance document Buyer 2-Name as appears on conveyance document A ((N7m ands t S) a ty`/ (/O d(j^ , q�6 3 - Address(Number and Street) _ Telephone Number .• E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF TH s • a• ' YES NO CONDmON YES NO CONDrITON Ell ❑ 1.Will this property be the buyer's primary Er ❑ 3.Homestead MAY 2 9 2013 residence? Provide complete address of primary ❑ 4.Solar Energy Heati /Cooling System res nc ' aunty: c203 S 1 . ide S lud ❑ 5.Wind Power De ' • Aad (Nu rinse —1^ ,a mutt Gib56Y1 ❑ 6.HydroeleL6i886342f]�hldiTYAUDITOR {. •at WI 7f� v ❑ © 7.Geothermal Energy Heating/Cooling Device Ciry•State ZIP Code County ❑ ["2.Does the buyer have a homestead in Indiana to be I ro a residential rental property? vacated for this residence? If yes,provide 9.Would you like to receiv statements for this - complete address of residence being vacated, property via e-mail?(Provide contackinformation including county: below.Please see instructions for moreinf rmation. �„ u Not available in all counties)Addres(Number and Street) �!Y e` (96 - 19-/8-303-000. 519 -6074„ CIO;Sate DP Code unry ' Primary property owner contact name E-mail Under penalties of perjury,I hereby certify that this Sales Dis • re,to the best of my knowledge and belief,is true,toms er' and complete as required by law,and is prepared in accordance wit - S "Real Property Sales Disc • .4 --A'cf.(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is eing filleedd..O / (/lii i / L7 72Y et a re of e ClOv a / ��� Lgnaare o(Buya2/Spouse Number License/ID/Other Number `