HomeMy WebLinkAboutHomestead_McGill (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Preparer of the Sales Disclosure Farm Tide
Address(Number and Street) Company
City,State and ZIP Code Telephone Number E-mall
:E.SELLER(S /GRANTOR($)..,: -.. . ,_,- ' _ , - .a-.-
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Seller I-Name as appears on conveyance drment Seller 2-Name as appears on conveyance document
943h N. •"2S //.
Addrespm a Street) Address(Number and Street)
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c mplete as required by law,and is repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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nature of Seller Signature of Seller
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Printed Name ofShcer Sign Data(M.M/DD/YYYY) Printed Name of Seller Sign Date(MM/PD/Yr1Y)
F.BUYERf51/GRANTEES)--APPLICATION FOR PROPERTY;TAX DEDUCTIONS=IDENTIFY All ITEMS THAT APPLY,;-.' ) '; . . .
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Buyer t-Nemeas appears o nveyuncedocu� Buyer 2-Name as appears on conveyance document
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AQdre (Number and treet) Address(Number and Street)
Iii°,,Lc4- :1 J ti , e 417C:70
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY All.OF THO Y.
YES NO (DNOTRON YES NO CONDrr1ON
gi ❑ 1.Will this property be the buyer's primary ig: ❑ 3.Homestead �
residence? Provide complete address of primary 0 4.Solar Energy Heating/t.00n�g�ystem
residence,including county:
❑ [ 5.Wind Power De/
Address(Number and Street) ❑ E5' 6.Hydroelectric¢PP 2 e t AIMMPIV
ice
City,State 2iPCadr County ❑ W' 7.Geothermal'f;13
❑ 2.Does the buyer have a homestead in Indiana to be ❑ ('�' B•Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ S°l 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Aridness(Number and Sant) J') (- r� -O7 _�D3 - 003. 331)-o4
City,State EP Code County (',/•J` O1`
Primary