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HomeMy WebLinkAboutHomestead_Holzmeyer (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 DiPREP.AI2ER - rce —.ia-�" -_:-zr—F ;rr-.� > - -x" e. i _ 4" s- L�J i` 'iri. .-W-I Fat-'�'#`� t rE-:�-'P4 g-z gfe c--,��_iu.r�.�_.s�'-- �-_,.a!�'d?r t� d.-_5,..- �..0 -L 'c��--yse.� s.,.�.e -a,P��� .v s'i-�T"_.. 4 1F 5140)es Closer Prep er of the Sales Disclo.lve Form Title I .1)ACA ia nk 5 c . , 4 ISUO 7tt a� 5 YI ie - Address(Nwnh^rand Street) Compdnv V 70011ahi7oll'5 7nJ 4('loy 3I ? - & - 355I City,State,and ZI Code i Telephone Number E-mail ESEgialSIMANTOR[5] r„ , . T s ittaI .,s.. t `.a".';,F�� ntL : 3-yss1 I F4nflrc MA_ 4k4 Feehral ,1/a/e'oncI elto4gUvO p Assoc:J.1 on Sellers"Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1`l2.2/ Del/ad Paw/. 0/coo u Address(Number and Street) Ary}�!5(Erl+3€[n°adYsalafl LSCr • Da/los / ix 752 5/ as attorney Intact for 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". Slgnamre er O ' " �rZ Tenn/ r b. Mc VG;r- 6,/3-/y Signature of Seller Printed Name of Seller Slim Dote MM/OD/r») Printed Name of Seller Sian Date LMN/D../TM1 :aE BUY R S' mr t A E,.U•.i.G.zAnt T ION&bR�PROPETYA !DEDUTION3DENTIFAh ' {�+ C?43e OhICP it. ill. Bve2-Name as appears on conveyance documen 2409 Al Address(Number end Street) WAMPlairDa P, • Address(Number and Street) JUN 2 0 2014 NMSstAO-r Z' 4' 369 THE SALES DISCLOSURE FORM AIRY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FO THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 4 YES NO CONDITION IES d ❑ 1.Will this property be the buyer's primary ( ❑ 3.Homestead-) residence? Provide complete address of primary - residence includingg county: ❑ hi 4.Solar Energy Heating/Cooling System z9ag 14E-r Teddy ri RU. ❑ © 5.Wind Power Device Address(Number and Street) HC4 ttb54-q4(-}- TA/ 1)73t G) alSOn El 6.Hydroelectric ergyHe Heating /Cooling State ZIP Code County ❑ © 7.Geothermal Energy Healing/Cooling Device g ❑ [ 1 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" ❑ [Xl 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information � A including county: below. Please see instructions for more information. /1 Not e y _ , u „"; . Address(Number and Street) City.State ZIP Code - 6 - 3 -/4- yoo . 000. y99 - o). County -'ma -