HomeMy WebLinkAboutHomestead_Delong (2)E
C
INDIANA SALES DISCLOSURE FORM SDF ID: Page '2
D. REPARER -. .. -:-, .'. :' -'::• ...,,:. ' -'':.t _ °.s',.. -.. .: r..,. ...
'Prep arer a /[hr Sales Disclosure Farm Title
Addrett(Number and Street) Company
�v! � t�r Icam-\ _ \u,r`\c. r,c Z(1. 6
.E.SELLERS GRANTORS'
PIS
Se11er1 Name as appears on conveyance document
Se11,,2 Nam,asappearsonconveyance ocument S
a23�� \o..r��l�t��c�. (�ls��O C -�I
I Inc. 1r� �1 aMS�• HL
Address (Number and Street)
Address (Number and Street)
c�
1\ 1 c V-c.
City, Stan% and ZIP Code
City, Smt,,a Ad ZIP Code
Telephone Number E-mail
U of perjur 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
Wers
aa eW law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
atur fSeller /� // Stgna Nre afSeller
Printed ea Jr Sian Date (MMIDDATM Printed Name o Seller Sion Date MM/DD
F. BUYER 5 GRANTEE S1 '- APPLICATION-FOR DEDUCTIONS AND CREDITS -IDENTIFY ALL ITEMS THAT APPLY
Buyer -No os appea `rs on conveyance docv n[
�� 1 ` \�
Buyerl Namteeassappmrsoncanveyance�dt men[
S� 1 110
Addrett(NumberondSUee[)
Address N�ecc e�et()
.s � , e Ak c G, A7
�Cde
cLti-�
City, StatZnZ
Ciry, State and ZIP Code _
�
E -mail
THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
ITS NO CONDITION YES NO CONDITION
a ❑ 1. Will this property be the buyer's primary
[' ❑ 3. Homestead
residence? Provide complete address of primary
[J 4. Solar Energy Heating /Cooling System
residence, including county:
❑ �' 5. Wind Power Device
@OU �,� �� mac.; rrl �� �«
E] R 6. Hydroelectric Power Device .
Ad ress(NumberandStree[) _
t'kc.7- \'\T�,�
E] 7. Geothermal Energy Heating /Cooling Device
❑ B. Is this property a residential rental property?
Ciry, Scat, ZIP Code County
❑ [?' 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide complete address of
residence vacating, including county:
OGooO�z -d /9
Address (Number and Street)
City, State ZIP Code Coun
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
andfo plete s r?Quire by l,aTw, and is repared in accordance wi C 6- 1.1 -5.5, " eal �,operty Sales Disclosure Act ".
Si^ azure ofBvy�rl 1 i no[ure of Buyer
r
rm[ed Name BuverI Sian fb M /DD Printed Nameo Baver2 Sign Dow MM /DD