Homestead_Gonzales INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Prepare,of the Sales Disclo e Form Title -----
5-330 O G s c, -P / -e-!.):,- 7?/7 (� z z e-
Address(Number and Street) --Ti Campo ny
i�. �v; - ( , � �/ �� ;, r / ) V76 , CPO 27
City,State,and ZIP Code Telephone Number E-mail
4E:SEIL'ER(S)%GRANTOR(s): 44-Sta. °..::: ::a ii.Z=IN t-t?T -u-.' v-'r-3r)t,e4.0 tiri :-z'1,T: I
/VX( fp)A I 1/1/6/777 D (i )-Ty L , l4//Gi���
Seller I-Name as appears on conveyance document C Seller 2-Name j app rs on conveyance document
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Address(Number and Street) '
Address(Number and Street)
0/1'l7L4-�10 (2/TY, ��/ Y76,6r0 Ci ///�i3O e/t-y 1</ �7<�Ga
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 Propert'Sales Disclosure Act".
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Signature of Seller - I2 '- Signature of Seller C)
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Printed Name a(Seller Sian Date MM/Do/MY) Printed Name of Sell r
Sign Date(MN/OD%YYYY)
4T:BUYER(5)%GRANTEE(s APPLIGATIOWEOR?P,ItOPERTiWITAXIDEDUCTIONS iDENTIEY ACL-'ITEMS:THAVARP..L`-Y ,;;"'_> 3 St
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Buyer I-Name as appears on cony nce document Buyer 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
/497ir( 4//✓- 6/2"/� / �✓ 4/766 U /L( - -Z -- w0 ,/C/- // K76G o
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. yT�
YES 9 CONDITION T�A'p'Z' FILE ll
[�❑ 1.Will this property be the buyer's primary �[t�❑ 3.Homestead L
residence? Provide complete address of primary LJ 4.Solar Energy Heatin Coo in m
? residence,including county: ❑ 9' 5.Wind Power Device bEP k 5
07 S, /0 E
Address(Number and Street) / `❑ R"-- 6.Hydroelectric Power evice
(� ���`a 77 ��/ �i G C/6SG,,/,(--, 7.Geothermal Energy ' p�)(D�eviicce
CI .Sta�te-ZIP Code / 'tounty
be /L❑I P P t®seJ M�Mk}dP4,T9t
❑ G -.Does the buyer have a homestead in Indiana to be 8.Is this roe e [y?
vacated for this residence? If yes,provide ❑ (39.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)
X51( 00 (00. (0
City,State ZIP Code County
Primary property owner contact name E-mail