Homestead_HopeINDIANA SALES DISCLOSURE FORM SDF ID: Pte. 7
D.PREPARER -
Preparcrofthe Salsa Farm ndbe
�)0 P�rawis St
A dress(Numbeand Sleet)
E -mall
E SELLER GRANTOR
S
Shce3 -Namem appevn to tonveyantsdocument
Shcer2- Nomeasappearsontonveyaued¢ meet
Add Gerard Sleet)
Address(Numberad SDeet)
L
Cty,
certffXthat this Sales Disclosure, to the best of my tmowledge and belief, is true, correct
and co lete as req ed w, and is p spared in accordance with IC 6 1.1 -5.5, 'Real Property Sales Disclosure Act'.
77
Stgaamin ofSeNe
1 "
Rind Name Sdi", Stan Dote (Mmi a Date MM D
F. BUYER GRANTEE - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
dowm
Buyer I - Name as appears an mnveyance Boyer - Name as appears am m�veyancedxument
AddreafNumbeand Sleet) AddressfNumbeand Sb J
Cry, Setae an • Cty, Smat ®dZlPrnd•
s{ %Ufri
i haro Numbe
FOR CERTAIN DEDUCT10 TIBS PROPERTY. RIMM" ALL OF TN 7 APPLY.
YES NO CONDITION YES NO CONDITION
Q ❑ 1. Will this property be the buyer's p ' ary
® ❑ 3. Homestead
residence? Provide complete addre s of p ' ary
❑ ® 4. Solar Energy Hea ' /Cooling System
residence, including county:
err Device
❑ ® 6. Hydroelectric Power Device
Address(NumbeadStet)
E] ® 7• Geothermal Energy Heating/Cooling Device
❑ ® B. Is this property a residential rental property?
City,Statr ZJPCad• Caanty
❑ Q 2. Does the buyer have homestead in Indiana be
a to
vacated for this residence? If yes, provide
❑ ® 9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e- mail? (Provide contact in&=ation
including county:
below. Please see instructions fo mo 7 rmado
Not available in all counties)
Aderea (Number and5bet)
6g -6z G�
City, State DP Code County
Rimay property ovmetmmct name E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the my lm111 ge and be e , rrect
and complete as required by law, and is prepared in accordance wi 1.1- 5.5,'Real Property Sales Disclosure Act'.
Spouse information, Social Security and Driver's License /Other n hers are not necessary if no Homestead Deduction is
being filed.)
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S(gnaoue aJBvyel 14 nel
Cis IeYa. ,� t�
Rind Legal NameoJ 1 Date (XM /DIMM Rind Legal NameafBLyer21Spouse S(gn DYme(XN/OD1rYM
Last 5 digits of Buyer l Drivers State Last 5 D(gitt ofSodal Security Number Last S digits ofBuyer21Spouse DdvWS State LastSDigitsofSodd1Setvrity
Limtsv17D 10ther Number Number Litt 17D/Other Number