HomeMy WebLinkAboutHomestead_Hume (2) INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2
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Preparer of the Sales Disclosure Farm Title
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gAd ess(Number and Street) ,/
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City,State,and ZIP Code Telephone Number Email
RFsELL'Eft S)`/,GRANTOR(S)- ; 1 r":;' .Pc145-`''-i -7•T."r ± `r --``�;7.- s-.-c"T.T —.--.--7-7-7-7-77,--,7-- ._
Seller 1-Name as appears on conveyance document S e l l e r Nome as appears on conveyance document -t
/ 70 5 r.1,o.. t.,.r/a,/f�,,,c /705 Coil-..--�.a.of /7rr,-c-
Adg3ss(Number and Street) Address(Number and Street)
/ la 1:. <<-71.---- /N 474.7 ✓ /it -4.-c /.t /x/ 4-7470
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cam le as required by law,and is prepared in accordance with `
ith IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sig enure of Seller Signature Seller
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/ ented Name of Seller ` ion Date(MM/OD/YYYY) Printed a of Seller Sign Date(MM/DD/YYYY)
AP:BUY,ER(S) GRAME(S) AInicATIOisROR• 1 RTIYTAXDEDUGTTONSYIDENTIF,Y7ALL:IIEMSITHATrAPP,C ` r
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• verl Name asp pears on conveyance document Buyer 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FO: •.OPERTY. IDENTIFY AL •- -, E THAT APPLY.
Y NO CONDITION
1 0 1.Will this property be the buyer's primary
4 YES NO CONDITION
❑ 3. Homestead
residence, Provide complete address of primary J „i I Cooli stem
inClu,(�,,g county:
�ln , ACLR.Z" �, ❑ Ft 5.Wind Power II! c
!y
Address(Numb�er�and dSStreet)w ` 222^�~~I TT ❑ ,(21 6.Hydroelectric ' 1.
- ,c\ela.sQ I 1` .% L' `� fO ❑ .V/ 7.Geothermal Ener�y�r•f{Ra M ling Device
City,Sta�re,{ZIPCode County U ;{� ���
❑ L�J 2.Does the buyer have a homestead in Indiana to be ( 8.Is this property a rest a t(a rental property?
vacated for this residence? If yes,provide ❑ DI 9.Would you like to ceive t x s to is for this
complete address of residence being vacated, property via a-m tact information
including county:
below.PlerstmciNseegtiwpicguppriyikormation.
Not available in all counties.)
Address(Number and Street) CS1(,
- 1 -18-30 4 - Oo•6a Z -D
City,State ZIP code County
Primary property owner contact name E-mail