HomeMy WebLinkAboutHomestead_Maikranz -INDIANA SALES DISCLOSURE FORM SDP m:
D.PREPARER Page 2
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Preparerol the Sales Dtvd arm Tttle_T
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av,5757n1S and ZIP Code \ e ��� ��
Telephone Number E-mail
E:SELLER(S)/GRANTOR(S) .
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Seller 1-Name asp appears on conveyance document Seller 2-Name asa ears on conv
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Address(Number and Street)
ale c. Adores(Number and .-)
Telephone Number
E-mail
Under penalties of perjury,I hereby certify that this Saks Disclosure,to the best of my knowledge and 8 , 'ef,is true,correct
d complete as require by- ass d is prepared in accordance with IC 6.1.1-5.5,"Real Property Sales Dis T e Act.
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J L r / Signature of Seller \
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Printed Name of Seller Sign Date(MM/DE/17nel Printed Name of Seller
"F.-BUYER .GRANTEE S•—A PPLICATION:E ORI PROPERTY.TAX,DEDUCTIONS;1DEN1$FY-ALLTTENIS! . •• •• ' (MMDDryrr7
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Buyer 2-Name as appears on conveyance do ear
dres(NUmber and Street)
Address(Number on street) /
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YES No OONDTTION ON
E 2
❑ .Will this property be the buyer's primary c ❑ 3.Homeste
residence? Provide complete address of primary
/ residence,including county: ❑ �4.Solar Energy Heat ng/Cooling System
/67 38 6, M47, ST • ❑ Ifr-S.Wind Power Device
Address(Number and Street) ❑ 36.Hydroelectric Power Device
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City,State ZIP Code cautty ❑ �7.Geothermal Energy Heating/Cooling Device
❑ �2.Does the buyer have a homestead in Indiana to be ❑ �/B•Is Property a residential rental property?
vacated for this residence? If yes,provide ❑ Ir y.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,Sm,:ZlP Code
' a(2 - .10 -OZ-Yap-000eo72 �•
County
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best ofmyknowledge 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
bein filed.)
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