Homestead_French INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the ales Disclosure Form Title
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ddress umber and Company
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City State,and ZIPCode / Telephone Number E-mail
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.E.SEtiLER(S)/GRANTOR(S)f-ds''`�.: �'-Fria 11.3 _�>•�s2.. . ><-� Fri ._;�. :a_f -=_2:�3Ja:_
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Seller I-Name as appears on con veyaJce document Seller 2-Name as appears an conveyance docurs§nt
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Address(Number and 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 corn.lete as required by law,and is prepared in accordance with IC 6-1.1-5. 'Real Property Sales Disclosure Act".
Signature of Seller (, Signature of Seiler f�t.
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Printed Name of Seller Sign Date(MM/DD/FTYY) Printed Name of Seller Sian Date DO/DD/Y)71)
VBUYER(S)7GRANTEE(S) AP P Ei C-ATIOMF,01k1PROPE RT,YiTAXD E OU GT I 0 INI-Sa IDENTIFYAL`LITEMSTHATAP.PGYyZs ..__;_s _}_-
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Buyer l-Name s appears on conveyance document uyer2-Name kgappears on conveyance document
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Address(Number and Street) A•dress(Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
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YES NO CONDITION YES NO CONDITION - . -�"'t,,
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❑ 1.Will this property be the buyer's primary .r 3.Homest®IfSO. " •UNTY AUDITOR
residence? Provide complete address of primary ❑ Nf 4.Solar Energy Heating/Cooling System
5 • ( s+- S+
residence,including county:
304 ❑ 117 S.Wind Power Device
Address(Number ands •et) _ ❑ Tr 6.Hydroelectric Power Device
4-. ." di – • e _ A el p 7.Geothermal Energy Heating/Cooling Device
it;,State ZIP Code County
❑ Er 2.Does the buyer have a homestead in Indiana to be ❑ �/8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ LAS 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.)
Address(Number and Street) aca a- acs(-wO•UQ 7 -Cad
City,State ZIP Code County
Primary property owner contact name E-mail