Homestead_Luttrell (2) IP
)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
-D.PREPARER -- - - -; -
� , D ----LQ � - -LLD ( V Ic.sfl
Preparer of the Sales Disclosure Form rid
¶5D\ "AGL4L4YI �S Sc ' ' r 1 \ I 5�5 (2- ,2,110
(-Address(Number and Street) Company
'lSw 1Lp I `\-111/4A 8l Z.-LA ZI- `4kx-)0
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(5)/GRANTOR(S) --
-I-h Ko 1
Seller l-Name as appears on ryn eyance document Seller 2-Name as appears on conveyance document
/003 c , (A .r) n- Sf
Address(Number an Stream /II1 U ') Lig Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller B, 0.L-( J-�~, Signature of Seller
mQ.Y1-'t C. I'..a Ker ■ \-2-\.1--
Printed Name ofSeller Sign Date(MH/DO/YYYI) Printed Name of Seller Sion Date(MM/DD/YYTY) -
'F.BUYERS)/GRANTEE(S -A'-'- ATION FOR PROPERTY-TAX-DEDUCTIONS-IDENTIFY ALE ITEMS THAT APPLY -
CCP C. f •
Buyer 2-Name as appears on conveyance document
X CDUC-( •
Addrgs(Num and Street) t�� q^' YQ Address(Number and Street)
X Flt ry�Tysl/l`i1J�t l:o lYl\.LA, U
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION O—C9FOlIIQN
❑ 1.Will this property be the buyer's primary 3.Homestead � �
residence? Provide complete address of primary — • Ier ea
residence,including county:
❑ a 5.Wind Power Device
Address(Number and Street) ❑ a 6.Hydroelectric PoRelkivic2015
❑ 0 7.Geothermal EnerA Heating/CT,lintr aevice
City,State ZIP Code County I / �i
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property,rl ,r ! �yy,;[T,l•s'tal property?
vacated for this residence? If yes,provide ❑ ❑ 9.Would yQMl lr81>1111N�Y.41�1�)1 for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: •' • ' 'e ' uctions for more information.
Not available in all counties.
Address(Number and Street)
426 — /S -IS-!o/-000. 3,33-oA.c
City,State ZIP Code County
_ Mimeo;nranerN owner contact name .•it