HomeMy WebLinkAboutHomestead_Roberts (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - -
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�P eparer of he Sales Disclasyre Form e
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Address(Number and Street) Company
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try,State,and ZIP Code Telephone Number
E-mail
E.SELLER(S)/GRANTOR(S) - _ '-
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Seller I-Mime as appears o onveyance document Seller 2-Nairif as appears on cony ante document
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Address(Number and Street)) Address(Number and Street)
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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".
c(gn ea er Signature ofSel'
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_ Printed Name ofSeller Sign Date(MM/DD/YITYI Printed Name of Seller Sian Date[MM/DEVYYM _
• ••LICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
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Buyer 2-Name as appears on conveyance document
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Addr (Number and Street) Address(Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y • •. • ' t '
yi ❑ 1.Will this property be the buyer's primary di 1 ❑ 3.Homestead
residence? Provide complete address of primary • II , 4.Solar Energy Heating/Cooling System
residence, including county:
40 y
2 o . -n tR oe)J i' ' ❑ l_ 5.Wind Power Device
Address 3(Number and Street) / ❑ Sw 6.Hydroelectric Power Device
WInce'I2(1 1d 41 10 &'l >J ❑ 5! 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ pi 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. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) L
City,State ZIP Code County 01) 6, '/61 _ 0 - /010 - o03 9 D-3 - O } F
Primary properryawner 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 con •lete as required by law,and is prepared in accordance with IC •-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Sp, ,se ' formation,So - I Security and Driver's License/Other numb•
re not nec• sary if no Homestead Deduction is
'Said•
signature ofByerl Si ature Btryer2/ us
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