HomeMy WebLinkAboutHomestead_Mann INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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City,Stow,and ZIP Code Telep one Number E-mail
6:;SEL}'ER(S)%GRANT R(SJ •�'O
erI-Am a as appears ancoi2 ncedocum .[ Seller 2-Name as appears an conveyance document
kess(Number an Street) Address(Number and Street)
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Under t enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an c mpl-te as requ' ed by law aPd'is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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li i��' f� Signature of Seller
P .ted Name of eller ian Date(MM/DD/YYYY) Printed Name of Seller Sian Dare(MM/DD/YYYI.)
_F.130;YER( '.GRAN!TEE(S)rAPPLIGATION';EOR+`PROPERTY TAX•DEDUCTIONS HDENTIFrAL6ITEMSTHAT;APPLY_ ___._ ._-
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Buyer I-Names ppears on conveyance dorynen Buyer 2-Name as appears on conveynn cument
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Address umber and Street) Address(Number and Street) LED .
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH Y.-
YES NO CONDITION I YES No CONDITION GIBSON rOUMiy AUG!FOR
❑ 1.Will this property be the buyer's primary LE ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling S stem
residence.including county:
7� 2 S. a/ site J ❑ Q 5.Wind Power Device - t
AdemiFss((Number and aset) l y,/- 7,T ❑ 6.Hydroelectric Pow- tl •vi•
1 • I'nce-/ o n, / 747e ❑ 7.Geotherm 01 "�ating/Cooling Device
City,State ZiP Code County
111 2.Does the buyer have a homestead in Indiana to be I�yla
❑ �.�./ 8.Is this prop- 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) 0zY
d' -k7-6 2-Jo ��. 99-f-Q
City,State ZIP Code County
Primary