HomeMy WebLinkAboutHomestead_Stiles INDIANA SALES DISCLOSURE FORM SDP ID:
D.PREP.ARER . Pa;e2
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Preparerofth_Sale DU ureForn, Title _
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Address(Number and Street) Company
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City,Sta e,and ZIP Code -
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E:SELLER 8:"GRANTOR'• •
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Seller I.Name as appears on conveyance Cdocument Seller Name as an conv
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Address(1'm2erand Street) �— "�
Address(Rumba randStrvl)
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Telephone Number
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 c to as r Ire b law d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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,gr,aCare of Seller
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Printed Name o(Seller Sign Date[NM/DD/YYR] Printed Name of Seller
"F..BU ER S .GRANTEE APPEICATION:T OR;PROPERTY.TAX•DEDUCTLONS=. SgnDate�NM/DD/YY••
—. IDEi\TIFYAI h4TE145 THAT;APPLY
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Buyer I-Name as c mrs on conveyance docuent
j j, ? �/ s /0,24— Buyer 2-ifemeasa rs an conveyance document
Ad-frr�11(Number and So- ) � Address(Number and Sheet)
,0,9-7eL47,-g /y- 7/7 ,e-
MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.ID E-mail
EN21kYALL OF THOSE THAT APPLY.
YES NO COhDITfON N , DITIDN
❑ 1.Will this property be the buyer's primary [E ❑ 3.Homestead
residence? Provide complete address of primary
re dence,includin county: 4.Solar Energy Heating/Cooling System
53,2.8 .S Oct 2/ %Z - rm-/ ❑ 27 5.Wind Power Device
Address Ian-, ar midStreet)
❑ 13 6.Hydroelectric Power Device
(2/77//97140 C 77% 7V 7Gu 4',41f
City,State Zip de / County ❑ 7.Geothermal Energy Heating/Cooling Device
❑ [� 2.Does the buyer have a homestead in Indiana to be ❑ Er/ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ III 9.Would you like to receive tax statements for this
complete address of r esidence b eingyacated, property via e_mai1?(Provide contact information—
including below.Please see instructions for more information.
Not available in all counties.)
Address(Number end Street) ( r/� l' �'+��- /� M
City,State ZIP Code
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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
bein ed.) D ti
S' ature ofBir/er1
Srgnahve ofBuyer2/Spouse
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. Number License/ID/Other Number