HomeMy WebLinkAboutHomestead_Tooley (3)INDIANA SALES DISCLOSURE FORM SDF ID:
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Prepare, nfthe Sales Disdosvre FO � Title
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4ddress (Number and Street) Company
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E.SELLER S GRANTORS • -
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Seller 1 - Name as appears,c conveyance document
Setter 2 - Name as appears on conveyance document
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Address (Number and Street)
Address (Number and Street)
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City, State. and ZIP Code
City, State, and ZIP Code
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Telephone Number E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
uired y law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
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Z:;;;w I Signature of S eller
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Pnn[ed a er Sian Date MM a Printed Name o Seller Sion Dale lNM/OD/1
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F ER S GRANTEE S - APP LI ION FOR PROPERTY TAX DEDUCTIONS- IDENTIFXALL ITEMS THAT APPLY
Oyer l- Name as appears on con u .[
Buyer 2- Name as appears on conveyance document
Address (Number and Street)
Address (Number and Street)
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Telephone Number E -mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DE UCTIONS FOR THISP LL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
,® ❑ 1. Will this property be the buyer's primary
[ ❑ 3. Homestead
residence? Provide complete address of prima
Iar� er Heating /Cooling System
residence, including county:
❑ S. Wind Power Device
109- 2- 7���A' /Frtd �FYJf€
❑ 6. Hydroelectric Power Device
Ad /dress (Number and Saeet)
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❑ Eg 7. Geothermal Energy Heating /Cooling Device
❑ 13. Is this property a residential rental property?
City, State ZIPCode County
❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ 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 co,runties.)
Address (Number and Street)
Clry Smte County
Primary property owner ca name
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
beirAg filed.)-
Signature of Bvyerl Signature ofBuyer2 /Spouse
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Number Last 5 digits of Buyer 2 1Spouse Driver's State LastSDigitcofSocial Security
License /ID /Other Number Number License /ID /Other Number