HomeMy WebLinkAboutHomestead_Young (2) INDIANA SALES DISCLOSURE FORM SDP ID:
D.PREPARER Pa.e
Preparer of theSalerD' re FOrm $i��
5330 J o6Ie_/t Mier-- T72-c CC (1C
Add (NumberandStreet) Company //
l/ A/ V/6-C-f V77/_5 '/a� — 7-77o—eSf7
CV,State,end ZIP Code --
Telephone Number E-mail
E:SE LER 'GRANTOR.
MirainaPFlIEn , C a •
5Seller 1-Name as a�ppea on conpnance documen Seller 2-Nam-• appears an conveyance
0 / A! 41 A/ - /,f e— PP eyance document
A !(lurrberand Street) /7 /!!'
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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Ace'.
I /rCl/ of 77 Ti , 0 // Signature of Seller
��C/3
Printed Nameo Seller Si. Dote M •DWV Printed Nameo Seller
"F..BUYER .GRANTEE S"—APPLICATION:EORIPROPERTY TA/•DEDUCTIONS' I. �'n Da "x,nom
IDENTIFYALli'ITEIvIS THATiAPP.LY-
/IS crN2
Buyer l-Name as ap ears onm,,,...eee/once der-meat Buyer Na -
3; 9 /7 S7 2 uY appears on mnvrycnadac meat
l )/A�um.5erand Street)/// ,1 7
/Nl�/— Address(Number and Street)
� 7l 70
Telephone Number
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. E-mail
YES NO CONDITION I i— NO •
r ❑ 1.Will this property be the buyer's primary 4 6 ❑ 3.Homestead
residence? Provide complete address of primary II M 4.Solar Energy Heating/Cooling System
resident mcludirg_coun • ,/
0 l 51 /in ti S/'/-t ti7 ❑ ly 5.Wind Power Device
Addres(Numbeand r r) ❑ �6.Hydroelectric Power Device
p 1/21. 5I /L( f '/ /1 2 t 7 04ms-
❑; �7.Geothermal EnergyHeating/Cooling Device c;ty,sm:e2•Pro
County
❑ [}� 2,Does the buyer have a homestead in Indiana to be ❑ B property a residential rental property?
vacated for this residence? If yes,provide ❑ 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) -- ��O/^
`t`a�f•—ban o/9-oda
City,State ZIP Code Count/
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_filed.) F
A ft ALL 1 ..I A
s tyre ofBuyerl Signatire ofBuyer2/ o•e
//! rL7�—Ai If
_ Number License/!D/OtherNUmber
M