HomeMy WebLinkAboutHomestead_Wilson (2) �ti1DIANA SALES DISCLOSURE FORM SDF ID: Pa
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City,State,and ZIP Code Telephone Number
E-mail
tt SELLER'(Sf%GRAN1'0RISMI,=7_-..° *.F i": '-°'- v4.5.xlr,. n .�r''- -T.., .•ar•AV-„,.._. h.•,�-
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Seller!-Name as appears on conveyance document Seller 2-Name as appears on cons .nce'or eat
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Address(Numbe nd Street) Address(Number and eet
251 � . wry O&ld4 d /w J17�47o
C(ty,Sta and ZIPC eQ /
0adIC.(uf c U NN��c00 U 2 City,Smte,and ZIP
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Telephone Number / i ` mai V� 7e�4937�r(�
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 comple - as 'Ili by law,and is prepared in accordance with IC 6-1 3-5.5,"Real Prope Sales Disclosure Act".
ROPERTYgTAXDEDUGTIONS s iii @NTIFY.ALI 1TEMSTHAT,AP•P,L•Yt: s,A "t'``
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Buyer I-Name as nap rs on conveyance document Buyer 2-Name as appears on conveyance document
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Address(Number and Scree Address(Number and Street) ��
00., GL�(1 f .1 I N LATR(04-6
YES NO CONDITION I YES NO CONDITION •C7SO/V r
❑ 1.Will this property be the buyer's primary -� ❑ 3.Homestead C�(rNT��:'
residence? Provide complete address of primary y
❑ 4.Solar Energy Heating/Coe/1i%System
residence,including county: /
Ig s, y, ❑ S.Wind Power Device T0R
Address Numb egad Str )
fC., - Pef -.i ( , id Lk,(C U U ❑ 6.Hydroelectric
eoth mac Power eating
City,State ZIP Code 4 County ❑ 7.Geothermal Energy Heating/Cooling Device
❑ I M 2.Does the buyer have a homestead in Indiana to be }❑ 8 Is this property a residential rental property?
777"”" 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) Jeff' I n {� Q/� ;([/.�//'' /j�// a'
City,State ZIP Code County ` Iry/"" T-1 �)�/` ^'^ J �" '�/,V� .
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