Homestead_Gendron 1
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. EPARER a
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Preparer of
6978VSyfp Dudor Form Title
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City,State,and ZIP Code I Telephone Number E-mail
'E.SELLER(S)/GRANTOR(S) :_° =- -,:."1,t,:;.::::7,. ;` ::::47;7L-7.7 . ;s).• - r ` 2
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SelerI-Name as pencconveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) ,. (Number and Street)
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Telephone Number I 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 c ete as required by I w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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SignatureofSeler Signature of Seller
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Name of Seller Sign Date(MM/DO/MT) Printed Name of Seller I Sign Date(MM/OD/YYYY)
F.BUYER(S)/GRANTEE(S)-.APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY ....:Cr.'.... .27`."4'`1",
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Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
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Address(Number and Street) , (Number and Street)
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THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONOmON YES NO CONDmON
&3' ❑ 1.Will this property be the buyer's primary ( f ❑ 3.Homestteea-d�gI
residence? Provide complete address of primary ❑ ❑ 4.Solar ElRrav 19e /((e1li j+.;tern
esidence including county: 5.Wind P er 1 g / ii
�+ddress(Number qnd;Vet). ❑ ❑ 6.Hydroelec�nc p w r}D� y� ,y
(t")A,�[.AhIO CIT l t=/V Y- L `i O (c;"1--005.
'1k c'17 ❑ ❑ 7-Geothermal E g#Rating/Cooling Device
City,State ZIP Code County I
❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8.Is this grope s I a resit en o lerl[al property?
vacated for this residence? If yes,provide ❑ ❑ 9•Would you A...�: r, e_,AtTYfit statements for this
complete address of residence being vacated, propc3TBSO }10013$W vAklaI1Ti@Hinformation
including county: below.Please see instructions for more information.
Not available idol!counties)
Address(Number and Street) (Q ^ l(o—apoI' cot. 568- ti
City,State ZIP Code County
Primary property owner contact name I Emil
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: