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HomeMy WebLinkAboutHomestead_Bledsoe (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARE/R� .� >-Fv xa V-PAc 1' 6u 43 - Preparerof the Sales Disclosure Form Title , LIJOS\C, 1 kt 3'J 5L..4e l01 -_1-rMcltct ,,c. ' ;-1-te A-sSockc {e$ LLC Address(Number and Street) Company t� !) L SZNe \bY4 ; l\e n\'3L c ( l � 3t7 Sla ylyo QInCT(© is7C(1anA-Kik,C Dty,State.and ZIP Code Telephone Number E-mail : : - - - . E.SELLER(S)/GRANTOR(S) . , Utnev(eve Rent -e-HaP,fK\e Tt,,st bJ[ rtkr,1.9 6\ec4SOer Seller I-Nome as appears on conveyance document Sefler2 None as appears on conveyance document �l(J C• l "i-fl`�AQ•\ C Address(Number and Street) Address(Number o"sg-;;ueer) "� IToct dr-_os ice_, T4 474: -1 S' - 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 nil cottplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signn[�r kCA U &e 9\\ote Signature°JSeller Printed\ame ofSeller Sian t/J DO[e 1A\Irr Printed Nome of Seller Sign Dane(xx/Do/YYI'17 F:BU ER(Sl//GGRANNTTEE(S')1=,'APPLICATION'FOR•PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY,`_ Rckax'Y1—.�=TAas0e p ?-Namrasa arsanconveyance Coument Buyer I-None as appeam'on conveyance document Buyer appears t,t3E. ?0cS\ ' - Address(�Numberand Stree• Address(Number and Street) Fo(*- c&rL k t. ' J 4-164g - Telephone;Number E-mail THE SALES ISCLOSIIRE FORM MAY BE USED TO APPLY,ORCERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE.TI P YES NO CONDITION I Y 0 CONDITION � � , ❑ 1.Will this property be the buyer's p,-iman 3' ❑ Homestead MAR residence? Provide complete address of primary ❑ R.."1"...-Solar Energy I leating/Cooling S ste residence,including county: ❑ Fere 5.Wind Power Device 31 Sr 17sti k S* ❑ Hydroelectric(RIg0W00UNTY AUDITOR Address(Number one'--rrnft) T-/ iXt gYAeC('i tTIV Lll(OYoS ' ° ❑ 7.Geoth ilal Energy Heating/Cooling Device City State County I-ji residential rental property? _ L, ('-,'j)/8.ly(.Iis property a residential P P 7� ❑ 2.Does the buyer have a homestead in Indiana to be �ratements for this vacated for this residence? If yes,provide ❑ Would you like to receive k_- complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions far more information. Not available in all counties.) Address(Number and Street) 210-19 -1$- 301 - coo 4,15-oa to City.Suite ZIP Code County Primary property owner contact name E-mail