HomeMy WebLinkAboutHomestead_Montgomery (6) INDIANA SALES DISCLOSURE FORA? SEW ID: Page 2
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(Number and Street) . — Company
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City,State.and ZIP Code \ one Tele h Number
➢ E-mail
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Seller 1-Name ap rsan conveyance docum".t Seller 2-Name as appea onto.veyance document
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ess(Number and Stre ) — ' Ad•' (Number and trees
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City,State,and ZIP Code
mplete as required b ass' nd is prepared in accordance .41, 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Sian• re of Seller
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Punted Name ofSeller Sian Date(MM/DD/YYYY) Printed Name ofSeller Sian Date(MM/DO/riYY)
"F BU ' ,_, '. _"-`^APPFICATION:FO'PROPERTY:TAX4DEDUCTIONS'-`.IDENTIFY7ALL'ITEMSTHAT.APPLY
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•u a an conveyance aacum... Buyer 2-Name as appears an conveyance
Address
(-11Number, Street)./ Addrez(Number and Street)
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
ITS NO CONDITION z NO CON. i •
1a ❑ 1.Will this property be the buyer's primary rgl ❑ 3.Homestead
residence? Provide complete address of primary ❑ 2 4. oar - --14 eating/Cooling System
_ r idence,includin coon : ,�/
5? /psidenc-i�/7 nc. _� ❑ u�,/ S.Wind Po e vl
Ad , {Numberands t) /_ i ❑ �✓J 6.Hydroel tric oo er ri
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Ciry,State 2l➢c ❑ L'7 7.Geothermal Energy Heating/Cooling Deuce
County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ $•Is this propeD G r�� �rental property?
vacated for this residence? If yes,provide ❑ r9.Would you like to receive tax statements for this
complete address of residence being vacated, property via all? ro ' act information
including county: belovyt�1�Pj,,ea for more information.
Not deft... - p .. . .
Address(Number and Street) -
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City,State ZIP Code County
Pri ry propertyercerrn oct name E-m
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct