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HomeMy WebLinkAboutHomestead_Dugan ...-_— rr , INDIANA SALES DISCLOSURE FORM SDI ID: Paget D.PREPARER .n1p 1L 1n\�v Er.l .0-CCnc>tu C 1 uSs l'AnorT ofs g$aies Olulasare Poem Igoe ?7l SJnt..r\\e-\\4-, S.1,- T 1 - . e- 6.: CI o� CWren(.'lamer van STees) Company 9\3r..b•l s -\-71y L4—1 ao l (2,V)..- "-7 -11-7C) O ly,Stare.am121P Coat TeNpimne Number Email E.SELLER(S)/GRANTOR(S) N1L&oty (ten\ell")ci es Trc. Senn l-lame n appear;we vane dacomem I Seder 2-Nome as appears an conveyance docnm en: May c. ;�h Q Ad an(mummer and Strom) An'aren(Number aria Siren) \ uh tfA— )ti q 3c, ( Te/epham Nom her E-mral 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-L1-5.S,"Real Property Sales Disclosure Act". f - 4-e' 4--.6- tC&)- C - L-y. G:i2i e .Lgnamre ojSeler s Signature of Sell, ,Ye Je_i)o,-a 11 K l:c�1� U s of t I- /6/3 4 F.Printed Nome. - Sian Oct<(Y.Y/UO/rYY. Ninon Name of Senn Sian Dote IPM/Da/Irrel F.R ' - (S)/GRANTEE(S)-APPLIC.ATI I. OR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY f d . 4 . \ • t1 - E ' Buyrr Z.Name ci appears on conveyance darument NCAVISL " it ,SL pd rss(1.umbe and Song A'drev(A'only and S:eel \ c -T L Lt - 9 u 7 (<cr Telephone.Sumter E-mail THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.Ii LL OF THOSE THAT APPLY. CONDITION ! ES NU CONDITION YES CONDITION 1.Will this property be the buyer's primary i----- ❑ 3. Homestead residence? Provide complete address of primary A. ., -, _, •• -j.in Co EyI 2� �esi�gnc`e,including county: ❑ fl S.Wind Pow- - le - ���� Ad am etl� ❑ p....-5.Hydroelectric Pow . D v to\3 r ' !C I a=� 7.Geothermal Enenn a ing/Cooling ling Device _ l^ Rn:e NO Code Canny g tZi ❑ �'d. Is this property a residential re - . ..arty. ❑ 2.Does the buyer have a homestead in Indiana to be �j vacated for this residence? If yes,provide ❑ Lt•I�O.Would you like rat',' ::L-rTiRd.-ments for this complete address of residence being vacated, property via a-mr . 6. ( etl'(Platfon f�; nclud-in/g'c.o'u^nt�y: below.Pl S.i`'. ucnons for more information. -gz'/o/co ` (f Nor available in all counties.) Address(Number and&net) co G'i Ili t/svi/!� .2/N 4/72/5 & e'/e A' a alb o?J-C2 -Jct)-e n.3 o 9 City,Rcm:JP Code Wear/ Plummy prop,Wormer(own name 5-nail 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-S.S,"Real Property Sales Disclosure Act". (Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is , being dd. " D4 Straw,j �y_bvmr; Signature P(P.%rC/srou:r ea2e.e W /) j44/ 5 —/G -2/x/3 , - Number License/ID/Other Number