HomeMy WebLinkAboutHomestead_Cook INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the Sales Disclosure Form Tide l
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Address(Number and Street) Company
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Lip',State,and ZIP Code Telephone Number I E-mail
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Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyancedocument
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Address(Number and Street) Address(Number and Street)
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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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller 'Signature of Seller
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Printed Name of Seller Sion Date(MM/oD/YYYY) Printed Name of Seller I Sion Date(MM/DD/YYYYI
IF'BUYER(S)/GRANTEE(S) AP,RLIGATION:FORTAOP,ERT(YiTAX,DEDUCTIONS IDENTIFYTALLlTEMUHAT;APPLYi`_ . - _-
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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) Address(Number and Street) l
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THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I CONDITION
EKE 1.Will this property be the buyer's primary Et U 3.Hon• •.e I
residence? Provide complete address of primary . Et 4.Solar Energy's'jgJool y
residence,including county: I i t
4Da E rnQ,,n S} ❑ 15 5.Wind Power Ivl
a'ress(Number and Street) /� I❑-I I21. 6.Hydroelectric Rower Device
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City,State ZIP Cade County i
❑ �' 2.Does the buyer have a homestead in Indiana to be El-
❑ fly 8 Is this property a residential re sal r perry?
vacated for this residence? If yes, provide ❑ 9.Would you likelt tements for this
complete address of residence being vacated, property taggotil"}lro{§tychttAg ggt'pjirmotion
including county: below. Please see instructions for more information.
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Address(Number and Street) I
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City,State ZIP Code County
Primary property owner contact name I E-mail