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HomeMy WebLinkAboutHomestead_Leslie INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 -D,PREPARER/ I II ' Mo —0 . / Preparer of the Sale Disclosure Form Title 1 geL3 f'"cA Srrrr r Address(Number and Street) Company / n i j—'Aeo. -., L L ;0/4' 7 (5/S�3c,g '-2G3'2. am r[.e.v,,.•010 i r...1 C/yr.. .(y::.. City.State,and ZIP Code Telephone Number C,J E-mail l ;;E.SELLER(S)/GRANTOR(S) I *I, - 1L'r /, C ✓.. Seller l-Naze. ppears on con -•.• edocument Seller 2-Name as appears on conveyance document ' 3 fce .- Sti'tn,I Address(Number and Street) Address(Number and Street) Li)H,ef2 _�1 40x18 -) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct 1 and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (J17;Zt,/ni to P. D'y,/� J � yy/y Signature or er `� Signature of Seller � I: Ani4k n �. clan 5"f+. Jolt( Printed Node ofSeller Sian Date(MM/OD/YYY1) Printed Nome ofSeller Sian Date(MM/DD/MT) I F. BUY • S)/GRANTgE(S ,-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY i al ✓ 4 '.• - ') 1'1 ' y- I-,'ame•�y)s c(n conveya.cedocum- t Buyer 2-Name as appears on conveyance me I ki e ) n Iv e 1 / J y aress N mber and Str ) Address(Number and Street) • I THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS MRAPOZUNTY AUDITOR . YES NO CONDITION •. co, . . • t IS1 ❑ 1.Will this property be the buyer's primary ® n 3. Homestead 1 residence? Provide complete address of primary- 4.Solar Energy Hea in!' ..ling System residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ ® 6. Hydroelectric Power Device ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ N 2. Does the buyer have a homestead in Indiana to be n 8. Is this property a residential rental property? I vacated for this residence? If yes,provide © ❑ 9.Would you like to receive tax statements for this I 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) • rIy—IS-4-a3_00a. 007-.� / / L- a u -J re • V[l , at ' •:ti. City,State ZIP Code County yy Primary pro/erry own;ritintact name Email