HomeMy WebLinkAboutHomestead_Stransky INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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ISeller r1-Nome as appq,n an conveyance docuumment ir SeTer 2-Name a`ss'`aaappp�anan conveyance document
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Under pe• - (es of perjury,I hereb certify •at this Sales Disclosure,to the best of m owledge •nd,belief,is true,correct
and co t e as re•uir•• by la and i5 pr .red in accordance 'ii 1.5.5, Pry;es ales D ,closure Act".
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Printed Name el Seiler • Sqn Date{MN/D�/IYI•T Prin •Name a(SeUc Slgn DatetMM/DD,Y
IF:BUYER(SI/GRANTEE(5j°APPLICATION.FOR PROPERTY,TAXDEDUG ••NS_IDENTIFYIALL tITEMS•THATAPPLYF-_..._"L.—J
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•Name as a.._ ,ryonrrduarrcvt Bayer 2-Na. aro meanveyana daameat.
17/ SflnRI I a,vE 4 IN WLCI-v-1,Y 5-7—
i Adders,(limber and Street) Add relyiumber end Sts )
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THE SALES DISQO5URE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.!DUMPY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES� NO CONDmON
Q 1.Will this property be the buyer's primary E®' 3.Homestead CC r 3 2014
residence? Provide complete address of primary ❑ ( 4.Solar Energy Heating/Cooli System
' / re51�nce,intludin
L( KJ N l curt-, ❑ E' 5.Wind Power Devi&glRc,,��
49 t� w,s f7-` 1 T,.?�Dr2° ❑ 13.--6.Hydroelectric PowerUL COUNT
City.smteiiProds C toasty ❑ �2.../- .Geothermal Energy Heating/Cooling DeVi ITQR
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property?
vacated for this residence? If yes,provide El B---15.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.)
Addre is(Number and Street)
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ZIP �,,,, lo— IA-07- i01 -00a. 053 - Oa g
Primary preperry own er contact name E-mail