Homestead_Shane INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER ,
Vinod C.Gupta
Preparer of the So les Disclosure Form Title
17962 Foxborough Lane
Address(Number and Street) Company
Boca Raton. FL 33496
City,State.and ZIP Code Telephone Number E-mail
E.SELLER S GRANTOR S
•
WIPER CORPORATION
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
17962 Foxborough lane
Address(Number and Street) Address(Number and Street)
Boca Raton FL 33496
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 6-1.1-5.5,"Real Property Sales Disclosure Act".
^tip
Signature of Seller `• Signature of Seller .
Vinod C Gupta President of Winer Corporation 3/14/2013 �
Printed Name of Seller Sian DatejMM/DDMIT) Printed Name of Seller
Eat ;t M/DDMTYI
F.B _..t.:_L_ S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL I7 ISIIISP .
FAST RONALD SHANE ' 2 p 8 8
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on convey
ance da ?11 2014 -
PO BOX 291
Address(Number and Street) Address(Number and Street) rs,
OWENSVILLE,IN 47665 -
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES . CONDITION I t CONDITII.
1.Will this property be the buyer's primary e • 3.Homestead
,�U residence? Provide complete address of primary ❑ 5 4.Solar Energy Heating/Cooling System
residence,includingcounty:
ra Dy S'�"S `�I LL�Q cM-sr E 0 5.Wind Power Device
ddiess Number andStreet),•1 /// - ) ® 0 6.Hydroelectric Power Device
1 P'' ; - '.a91�E'J r r f2`. .`• SuA( I o /- ❑ 5 7.Geothermal Energy Heating/Cooling Device
city,St• ZIPCode County
❑''p"2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ® El 9.Would you like to receive tax statements for this
complete address of residence being vacated, cry property via e-mail?(Provide contact information •
including county: w below.Please see instructions for more information.
Not available in all counties.)^���l
Address(Number and Sowet) _ dal
City,StateZlP Code County
' 170N C95f x M-/A-?•OOJ•.2SI-O2?
If Primary property owner contact name E-mail