HomeMy WebLinkAboutHomestead_BakerINDIANA SALES SCLOSURE FORM SDF ID:
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PrpaeohSalerr f es Disclosure Form Title
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Address (Number and Street)
Email
E. SELLER(S)/GRANTOR(S) `_- ^• :,.,.. _ - -:` --- .,.�� ..: -_ -
Seller 1 - Name as appears on conveyance document
SeBer2 - Name as appears on conveyance document
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Address (Number and Street)
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Address (Number and Street)
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E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6;P-5.5 "Real esty S les Disclosure Act ".
Signature of Seller Signature af5e11fr
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Printed Name o Seller Sian Date MM D Printed Name o Seller Sion Date MM D
F. BU ER S G NTEE S - APPLICATION:FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL IT S' -THAT APPLY
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uyer Nameas appears on conveyance document
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Buyer 2 -N easappevrs on conveyanre document
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Address (Numberand Street)
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Address (No and5tree[)
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City, State, and ZIP Code
ity, State, and ZIP Code
E -mail
I Telephone Email
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL of THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary
Pf ❑ 3. Homestead
residence? Provide complete address of primary
❑ Er 4. Solar Energy Heating /Cooling System
residence, including. county:
❑ e' S. Wind Power Device
❑ 21 6. Hydroelectric Power Device
Address (Number an�d (Street) ,r-, `,�
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7. Geothermal Energy Heating /Cooling Device
❑ 8. Is this property a residential rental property?
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❑ [' 2. Does the buyer have a homestead in Indiana to be
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)
Ciry.Smte ZlPCode Counry
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Primaryproperryowner contract name 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 complete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Ho tead Deduction is
being filed.) nL�
Signature ofBuyerl Sig e o /Bu /Spouse
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Fria ted
Number Last SdigitsofBuyer2 1Spouse Driver's State Last 5 Digits of5ocialSecuray,
LicensellD /Other Number Number License /ID /Other Number `