Homestead_Sweeney ., .
_ INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the Sales Disclosure Form Title
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Address(Number and Street)
tiETSELLER(SI/GRANTOFF(S)Pa- a=Grera::::W77.001 ;43- '14-Wir-,174.7.7%2::VO 71.A.7.71_ ;:
iii . SLo-t-t- PleKnonnn UctIrCe C iTho KoAnetor,
Seller I-Name as appears on conveyance document Seller 2'Name as appears an conveyance document
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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 Qom tea q 1 d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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texture of Seller Signature of Seller
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Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(14/Do/nn)
Fr'BUYER(STA itANTEE(8)7A. II PLRATIONIF.ORWC OP ERTATAX•DEDU GT I ONSk 1 DEN T IFY ALM EKSITE Ar APPIAS0+711:Zni
1)1'10 noon Lee Suue.“) e.,-.3... -
Buyer I-Name as appears on conveyance document Buyer Z-Name as appears on conveyance document
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Address(Number and Street) Address(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 THO HA ./
YES NO CONDITION YES NO CONDITION
E" D 1.Will this property be the buyer's primary 1.7 0 3.Homestead JUN
2 0 2014
residence? Provide complete address of primary
D 0- 4.Solar Energy Hea 'ng/Cooling S stem
residence,including county:
cbg pt accy, SI- 0 Ei-- 5.Wind Power De
Address(Number and Street) 0 0-- 6.HydroelectieeEMilalllaRRY AUDITOR
'Era n ci s to - 1.q. I/70 Yq D De- 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
D Er
2.Does the buyer have a homestead in Indiana to be 8.Is this property a residential rental property?
0 Wis
vacated for this residence? If yes,provide 0 Er9.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)
j6 - 1 3-ao.-- lo;
- 000- m 'Ar2-DOS
City,State ZIP Code County
Primary property owner contact name E-mail