HomeMy WebLinkAboutHomestead_Johnson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
YDiEREPARER -t-s4..d7a, _. .,: t x ; - , -, -->x_
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Preparer of the Sales Disclosure Form Title
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E-mail
inEITIMS]%GRANTOR(S):trin Ws'? .,.,,"?s?na?>?"_t 411:771 " ssi,i•;: eer!RtX't 4 a
Seller I:Name as appears on conveyance document Seller 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
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c,o�plete as required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Printed Name of Seller Sian Date(MM/DD/YYYY)
zF RWER'(SIKITANTEE(S)'7APP,L'•IO TION!EOR?P,ROP.ERT:Y TAX+DEDUC-TIONS'nIDENTIF;Y/KEE4ITEMS:THAT AP,P,CY-:: + � '
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Buyer l-Nam t as appears n conveyance document Buyer 2-Name as appears on conveyance document
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Address(Number an4 Street) �, I Address(Number and Street)
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Telephone Number Email
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATT P
YES NO CONDITION I YES NO CONDITION IN Ap®®
Ed ❑ 1.Will this property be the buyer's primary �j ❑ 3.Homestead
residence? Provide complete address of primary
residence,including county: ❑ (� 4.Solar Energy Heating/C g System
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❑ 2 S.Wind Power Device s 14 2014
Address(Number and Street) ❑ ® 6.Hydroelectric Power Del e
Sbraarv;lli'- Tnl 1761'3 6;bSoe/ ❑ Q 7.Geothermal Energy He evice
ay,smreZIP e2. County p p �(a` es! N tit ��
❑ g 2.Does the buyer have a homestead in Indiana to be ❑ B 8.Is this roe a rest 2n
vacated for this residence? If yes,provide ❑ TA 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: 4026—uvtelt o D�°aaStk �r: �ormoreinformation.
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Address(Number and Street)
City,State ZIP Code County
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Primary property owner contact name E-mail