Homestead_Maier •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2••• .D.PREPARER & '—t `t.- . '1-4-f,:,:-`- _"r•. _..., ,a, e g.tS;.:: .'_ {s -= -__ .` .: ° "=_,.Fg.-1
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PreparecoftheSales Disclosure Form Tide
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Address(Number and Street) Company
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City,State,and ZIP Code Telephone Number -J J U . E-mail
'E.SELLER(S)/GRANTOR(S) _ _bF=_ . c '_ t- . eF t, _^ t .. e4 -t { > ': ''
Seiler I aibme as appears on conveyance document Seller 1-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street) I
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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 /,mplete as required by law,and is prepared in accordance witgLIC 6-1.1-5.5,"Real Pro ierty Sales Disclosure Act".
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Si;nature a lei c Signature of Seller
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. - red Na (Seller Sip I•to(.M.4/DD/YYYY) Printd... , Sign Date(MM/DD(YYYt)
THE SALES DISCLOSURE FORM MAY BE USED TO AP LY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO cDNDmON _...ICE4- NO CONDITI
a" ❑ 1.Will this property be the buyer's primary [,r ❑ 3.Homestea a ��'''''tt
residence? Provide complete address of primary 4.Solar Energy HI a 8bli g Sy elyt D
residence,including county-: I g�J L
\ \ 3y So. G:bsv.J St , ❑ i�'5.Wind Power Devi
.—yddres(Number and Street) ❑ (3" 6.Hydroelectric Power Device
idr; s)c-A�o r-) i N `11 lcl O a.\)0 J ❑ ,Q' 7.Geothermal Energy Hek'(�
�tM�/Collgevice
Ciry,State LPCde County 1
❑ 2.Does the buyer have a homestead in Indiana to be ❑ g/B•Is this property a reside fiat ren p
vacated for this residence? If yes,provide ❑ L7 9.Would you like to rec • for this
complete address of residence being vacated, property via e-rJfg v(jo09gWRfetpty(fl11TaBn
including county: below.Please see instructions for more information.
Not available in all counties)
Address(Number and Street)
04 /02 /Q -ao I- (sue/ O 90
City,State VP Code County
Primary property maser contact name I E-mail
1