Homestead_Brandebourg INDIANA SALES DISCLOSURE FORM SDF ID:__ Page 2
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Seller 1-Name as appears on can melt - Seiler 2-Name as appears m m,vryunadaument
44 SOO Alcoa. Trzl I I
Address(Nambeand Street) Addrea(Number and Sweet)
`3Y1tuyvil/e T 3 72,04
Tdephane Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an omplete as require�.py law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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. Printed Name• Sella S:n Date MM Omen Printed Nemec Sells
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a-6 2014
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Addnss(Number and Sheet) .
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THE SALES DISCLOSURE FORM MAY BE USIMI TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF laOSE�T/HHAT APPLY.
*YES n �/� '/�1�.�
YES " .NO CONDITION YES" �� [ONDn70N (•/.� I(J/D /�(/t/�s V,l
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead \ -
residence?/Provide complete address of prima �'—Q— --1k-yb{ r.Cmi)eating/Cooling System
• ❑ ..d
2�1 3 �iesit e llycl�i> tF,.� S_Wind Power Device -
dti(Np I avn 7r o ! C- _ cry ❑ [y 6.Hydroelectric Power Device
a CCC (Q CJ corn ❑ Q' 7.Geothermal Energy Heating/Cooling Device
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❑ 2.Does the buyer have a homestead in Indiana to be ❑ �,/ 8•Is this property a residential rental property?
vacated for this residence? If yes,provide • ❑ [ 1 9.Would you like to receive tax statements for this .
complete address of residence being vacated, - property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
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Addrea(Nvmber and5trat) J \ hirO i eii-r 1 Uci � • di TL
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Primary property owner canton name E-mail