HomeMy WebLinkAboutHomestead_Cavett/INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
fv J
1A
aK
SAULN4-OL, '%x)4-C__ Ien A SeA ✓
Prepparrr oJatrS�al B�dasure Farm nut
-o .
2 i.•Q IJIrZaf T) fI V_t,
Address (N amber and Street)
Seller i - Name as appears an tmveyvme document I
Seller 2 - Name. appears on conveyance document
°l3� arpoCClje (e;\4" DrIVe_
Addsev(N'umbrr and S ert)
Addrtoff.aberand Strca)
IC)M13i\o, Cfl 41���3
City, Slxm ondZIPCode
City, State, and ZIP Code
E -mail
iele hone Numb. Email
Under of perjury, l he by certify that this Sales Disclosure,
to the best of my knowledge and belief, is true, cortex
and co required aw, and is prepared in accordance
with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act".
natureefikkllnca Hou t s� y n
Slgnamre ojSeBer
+ye�r
Prfnwxcaa S nDate a
Printed Name otSsll. S(q,Daw(NXMDIYYM
ca VQ. f CCA 6 T Ca ✓e
Save, 1- Name as epPears on co.yarce document
Buyer2 Nome asappears on conveyance document
Address an
Addresr (Number and StreeQ
Pr;(NU
nt.e, den, fA/ 11'7670
City, Store. and LP Coal
City, State, and ZIP Code
(812),
one Number E m
e hone AumbTele E-mail
THE SALES DISCLOSURE FORM :MAY BE USED TO APPLY FOR CERTAIN DEDUMONS FOR TH15 PROPERTY. IOENTiFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDTON
❑ 1. Will this property be the buyer's primary
I , Homestead
residence? Provide complete address of prima
L oar •nergy H eating /Cooling System
residence, luding county:
inc
3 ?�
❑ [� 5. Wind Power Device
❑ (K 6. Hydroelectric Power Device
Address [Number and5trea) /> IhC`
-- of 1l1CIL'fp; iri ��iO�V - 1-31 bs�0
❑ [_ 7, Geothermal Energy Heating /Cooling Device
,,t/
F1 L� 8. Is this property a residential rental property?
OV'State ZlP at " County
❑ [` 2. Does buyer have homestead in Indiana be
the a to
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 inscrucaons(or more information.
Not available in all counties.)
/;7- d0 - 000.ote'9 -oa/
Address (Number and S.eet]
City, State ZIP Code Count'
Primary pmprrty oxmw ton tact name 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- 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 Homestead Deduction is
being filed.)
"/(, C �c-
Sign _re oflitae l S{gnamre ojBtryerZ/Spovn
5are1 M Cgvei 01 �27�z0/o
+
Pnnted legal Nome gfBUytr 1 SFjn are [Mw/aD/,,M Printed Leyct NUmea %Buyer: /Spouse Sq. Date(sn /a)/rrM
--
Last 5 digits ojBoyer l Driver's State Last 5 Digia ofsocial Security Number La.RSdigicso)Buyer2/Spouse Driver's State Last 5 Digits o /Sodal Security
License/ID /Orher Number Number License /lD /Other Number