Homestead_Snyder (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
• D.PREPARER . . - •- - _ r
(l l/tr'iS (-in - !fl/ 1 ei r J (1051-714 CLC it
Preparer of the Sales Disclasure,Form Title
501 r'�a�-n , S /di SISSY it g. Ce
Address(Number and Street Company (/�{ (�
R'CUl 5 lit(-N C !.0 V'i"145 (83)�a I '1'-Vl1
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S)
• - _ - - •
Suimau4—' .4 fl'k VCt-%I_n an
Seger 2.Name ss appears on[o reyn`y dace/^en[ / Seller 1.Name as appears on conveyance document
4107 8 D id A r s(Numberand Address(Number and Street)
/(IF�C ti-t\z mi (4-7(r-lo
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and m�pll�ete as required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
YLy UM1M ..A �l/ 'V`(takv1t1.01
/ 1 Signature of Seller / Signature of Seller
S. n I. A -. iY k2t-n41Z-Ln JU9/1iif
Print-, -. e of Seller Sian Date IMM/DD . n led Name of Seller Sian Date(MM/DD/YYYYI
CR(S)'GNTEE(S)-APPLICATION c' PROPERTY TAX 1 DUCTIONS-IDENTIFY-ALLITEMSTHA PLY
, • . 11 a� r .TCU'1Ct Nameascp.'+.rs onconveyance docu' = t t• ,o, 'ame OS appears on con ante don, �C 1 ]-
Ad (A'vmberand Street) 16 Address(Number and Street)
'
^THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FO' - - -•,•ERTY.IDE - . 1 THOSE THQ/gRLY • , d
YES / NO CONDITION YES NO CONDITION �N rnl/A, '" _.
❑ 1.Will this property be the buyer's primary 1g" p 3.Homestead AtUO,TO
residence? Provide complete address of primary ❑ u r 4.Soar Energy Heating/Cooling System R
residence,including county: ❑ II"' 5.Wind Power Device
'
Address(Number and Street) ❑ 06.Hydroelectric Power Device
❑ 3' 7.Geothermal Energy Heating/Cooling Device
City State Zl ode County
❑ 2.Does the buyer have a homestead in Indiana to be ❑❑ O j 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 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)
rig-6)-5--d/- dap- aa0. .rog oa 2
City State ZIP Code County
Primary property owner contact name E-mail