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HomeMy WebLinkAboutHomestead_Gray INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _ -- - _ 1 I S ma YV\ L.Qf i ce` l'JOS 4• Pypa{Cria/me lu ui lasc Form st,i. silt to/ Title 7 co /,�.gssfAu' and nW Stag moss ! (1U ore� lYQ90 City,State,and ZIP Code Telephone, umber Email E.SELLER S GRANTOR_S ---' ' ' ' 1 i ` .. " - 1 s - -• SelaIreas appears pnJOnveyaere occument Seller 2-Na t as appears on conveyance document A ess(Na3mberand Street)et• J1 �57�� Address(Number and Street) • •rtify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a;.' comple e . equired by law, . i is pre.. ed in accordance i .-1.1-5.5,"'' -. ' •per • Sales Disclosure Act". i �i_ �, , i I . -. "'sited Name of Seller • Date xM/x0/11711 Printed N.• .:Seller Sian 0'-(M.M/DD/YTI '.BUYER S)/GRANTEE SFr APPLICATIONIFORPROPERTY.TAX'DEDUCT Sr:. IENTIFY'A LITEMS;THATAPPLY�;__ _ :. ., '_`_•; • / r / }� (�l , r Buyer 2.Name as appears on conveyance document 116 6aVi• et) ✓v �7(S Address(Number and Street) THIS PROPERTY.IDENTIFY ALL OF THOSE APPLY. YES 0 CONDITION NO CONDITION 111 1.Will this property be the buyer's primary D-7❑�3.Homestead residence? Provide complete address of p '. ary ❑ .Solar Ener.-. --- o - 6,13 ap /- �esjdegcp,{�Igdingcounty: Ce `CU JJ • . ve : vi t ❑ 111---6-.Hydroelectnc Power levice tesWNm" tt i .!N q'7( J 6L�c5 - ❑ 11/7.Geothermal EnefigtogttlgOigoling Device City State ZIP e County J ❑ 8.Is this property a residential rental property? ❑ 2.Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ 9.Would you like eceiv ax nts for this complete address of residence being vacated, property via e- tact information including county: below.PO1SIINr ldNlirM`flit1®bTORformadon. Not available in all counties.) Address(Number and Street) 02(10- 30-IDI - Coo- %t -ba\ City State ZIP Code County Primary propertyowner contact name E-mail