HomeMy WebLinkAboutHomestead_Adams (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER ": - _ - .
Preparer o([hSales Disrlosure lrm /1 / Tide
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Address(N�¢er and `eeet i (+7 (00 Company -�
Ciry,Staatte,and ZIP Code Telephone Number I r)... _ `� O( � Z 5, E-mail
E.SELLERS)/GRANTOR(S) J J
car I. Q Lzre_e C /
Seller I-Name.s appears on conveyance document Seller'-Name as appears on conveyance document A
II9OO 5 &w\ \\mac )1ya , Sat.Q-) rvl Ill KnX
Address(Number err ctr ) ^^ II y Address(Number and )
QS- C. V � f ‘14 �IU �
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-".5,"Real rpopperty Sales Disclosure Act".
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srgnatur ofSeuer Sig re of Seller
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTI ALL OF THOSE THAT APPLY.
YES NO CONDITION A NO CONDITION
ge ❑ 1.Will this property be the buyer's primary [P ❑ 3.Homestead p
residence? Provide complete address of primary .. , • ,
;s
e.ti g ooi ll'
residence,including county:
W 30 Orf Siree} ❑ [2- 5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Po evi
Prii)rP1-00, 'F / 47 .7 > G; K5 N He 2014
�l ( Cn ❑ �' 7.Geothermal Energy Healing/Cooling Device
City.State ZIP Code County ,--,/
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 11d 8.Is this property a�pQ: ide ue.:n property?
1..
vacated for this residence? If yes,provide ❑ ❑ 9.Would yooyll i eocp�{{ y .-s, 9, nts,for this
complete address of residence being vacated; property via e-mai?(Pfrovne con act in)Ormadon
including county: belety. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
City,State ZIP Code County dg a%?—a2 al o/ co/969 Oa?
Primary property owner contact name E-mail