Homestead_Castleman INDIANA SALES DISCLOSURE FORM SDF ID: _- Paee 2
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City,State,and ZIP Code Telephone Number Email
E.SELLER(S)/GRAN'TOR(S)
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Sel"r1-Name as appears convevcreed omen: Seller 2-Name as appears on conveyance document
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Address((.'ber etree l y fig owoo Address(Number and Sweet)
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
1complete as required y la r,a is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/41v--4 care of5e! r Sianarvre of Seller
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Printed Name of Seller Sian Date(MM/ Dunn Printed Name of Seller Sian Date wM/DD/YYIYI
F.BUYER(S)/GRANTEE(S)=APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY ALL ITEMS THAT APPLY .l " -` -- .- -
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Buy 1-Name cs appears on nveyance docvm^nt Boyer 2-Name as appears on conveyance document
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s(Number and tree[) Address(Number and Sweet) Ii i
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Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS 1AT.APP
YES NO CONDITION YES NO CONDITION
V I 1 1.Will this property be the buyer's primary f ❑ 3. HomesieadUN COUNTY AUDITOR
residence? Provide complete address of primary ❑ R. 4.Solar Energy Heating/Cooling System
esidence F clppdi p c unty:
' 911 i �f/ I I ,� S.Wind Power Device
S 14b- arA a. v ' 1 ( I,, IU 0 6. Hydroelectric Power Device
` '1 I O�, ❑ I 7.Geothermal Energy Heating/Cooling Device
City,Starezw Code County
❑ I I 2.Does the buyer have a homestead in Indiana to be ❑ 1 8. Is this property a residential rental property?
vacated for this residence? If yes,provide El X. 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.
Not available in all counties.) •
Address(Number and Street)
ad ya$- 10 Li 00D.073-00
City,State ZIP Code County
Primary property owner contact name E-mail