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HomeMy WebLinkAboutHomestead_Adams (4) INDIANA SALES DISCLOSURE FORM SDI:ID SDO ID 1778320 Page? D.PREPARER --- '--'.-- . - ,.-: -. -• _ r r .., . -. . Holly Perkins Closer Preparer of the Sales Disclosure Form Tide 7202 N Shadeland Avenue Hacker&Associates Address(Number and Street) Company Indianapolis,IN 46250- 317-578-1630 holly.perkins©hockerlaw-com City State.and ZIP Cade Telephone Number E-mail _.-. ,Ei SELCER(S)/GRANTOR(S)- -` —" , . — _ - _� �t . _ ... _ , _. .I -?, .__. - - - The Secretary of HUD Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document 40 Marietta Street Address(Number and Street) Address(Number and Street) Atlanta,GA 30303- Telephone Number E-mail U .er •e aloes o ury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belie(,is true,correct a� r l�4�co �plete as re• ted by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". e « H•C r : ASSOCIATES•S; 4 , �1 •••- -111 Signature of Seller P 4Vn" . �• err,rv. ,a„mnryw., Prr ono o nrctI r c:_..n ..,M+•","am� F.BUYER(S)--NTEE(S)--APPLICATION'FOR PROPERTY TAX:DEDUCTIONS IDENTIFY.AI:L'ITEMS THATAPPLY.=.-. Melody S Adams Buyer I-Name as appears on conveyance document: Buyer -Name as appears on conveyance document 9896 W 800 S Address(Number and Street) Address(Number and Street) Owensville,IN 47665- 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 I YES �� © ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary u u 4.Solar Energy Heating/Cooling System residence,including county: 9896 W 800 S ❑ © 5.Wind Power Device JUL 3203 Address(Number and Street) ❑ © 6.Hydroelectric Power Device Oowensville,IN 47665 GIBSON ei L1ry,State ZIP Code County ❑ © 7.Geothermal Energy Heating .o '-vemy,e ❑ © 8.Is this property a reside ¢}�HITOR ❑ $] 2.Does the buyer have a homestead in Indiana to be GIBb• �� I vacated for this residence? If yes,provide ❑ El 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.-Pleaseseeinstructionsfor-moreinformation:- - Not available in all counties.) Address(Number and Street) City State ZIP Code County aG_17-al-- oa/ 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 .ein: iled.) .-IA- i__ I /!t.., Signature of Buyer' / Signature ofauyerZ/Spuuse Number License/ID/Other Number