HomeMy WebLinkAboutHomestead_Loveless (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the Sales Disclosure Form Title
MUST RE COMPLETED
kSeller 1-Name as appears on conveyance d�jcumeen.t - Selig 2.-Name as appears on conveyance datum
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l Address(Number and Street) Address(Number and Street)
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CiO•,State,'nKb/t :S J -� N L 7 S /t� City te,�nd ZIP Code
TeleWhone Number / E-mail Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp a as required by law,and is prepared in accordance with IC 6-1, 5.5," al Property Sales Disclosure Act".
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Slgnamre of Seller Signature of Seller
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Printed Name of Seller Sian Dote(NH/ODATYY) Printed Name of Seller Sian Date(NN/DDAllll
:Fi13UYEk(S1/GRANTEE(S)=APPLICATION FOR ROPERTYT AX•DEDUCTIONS`'IDENTIF.YALE ITEMS THAT APPLY:::.!" ' ;• " .
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Buyer I-Name as appears on conveyance document Buyer 2-Noire as appears on conveyance document
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Address(Number and d Streeet)) 1 r_ Address(Number and Street)
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THIS PROPERTY. IDENTIFY ALL OF T HOSE THAT APPLY. 1
Y�ES NO CONDITION YES NO CONDITION /1 ,�l
vj ❑ 1.Will this property be the buyer's primary �� 3.HomesteadIBSON C UUNTYAU
residence? Provide complete address of primary n 4.Solar Energy Heating9Coohng SyLQJ oR
residence,including county:
ADDRESS MUST HI: In Er S.Wind Power Device
Address(Number and Street) COMPLETED ON ALL ❑ u 6.Hydroelectric Power Device
DISCLOSURES ❑ Er :reothermal Energy Heating/Cooling Device
City,State ZIP Code (NO EXCEPTIONS) County
I❑7. 3.Is this property a residential rental property?
❑ ® 2.Does the buy. Ito be
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vacated for this residence! II yes, provide ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact infornmtion
including county: below.Please see instructions for more information.
12T(.‘) E . Lo-t 3 . Not available in all counties.)
Address(Number and Street)
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Cu,,,State ZIP Code County T .,�}r
Primary property owner coutaigme ,� , t ,,� E-mail
IF THE HOMESTEAD BOX IS CHECKED s: TI-IEV HAVE NOT COMPLETED THE
DIGIT LICENSE # SI THE 5 DIGIT SS' - THEY WILL NOT RECEIVE THE l-IMSI D