Homestead_Stocker INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DePREPARER_ .'-r - VII
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Preparer of the Sales Disclosure Form Tide
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Address(Number and Street) Company
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iy,State,and ZIP Code Telephone Number E-mail
iE^SELLER(S)/GRANTOR(S) "
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Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) _ I 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 as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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(,4ignaaire of Seller if Signature of Seller
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Printed Name of Seller a Sian Date(MM/DOnTYY) Printed Name ofSeller Sion Date(MM/DWITYY)
.--------F YERS)/,GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY - ; �'
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Buyer I-Name as appears on conveyance document Buyer 2-Mimeos appears on conveyance document
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Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE TY. IDENTIFY ALL OF THOSE TIlt�..rP6-.2 2015
Y
ES NO CONDITION 1 YES NO CONDITION 66 J
❑ 1.Will this property be the buyer's primary Homestead - , • a .�
residence? Provide complete address of primary ❑ ( olar En -�j;s. ��5Y stem
residence,including county: ❑ L^1Y/ .. • ' • Y AUDITOR
?Iei�3 AO'I .S. /144/1/ ANA./ Wind Power Device
Address(Number and Street) ❑ toy". ydroelectric Power Device
P4fokAt - .1, V244 %0-SF/t/ ❑ LJ/ Geothermal Energy Heating/Cooling Device
City,State ZIPC County
❑ Does the buyer have a homestead in Indiana to be ❑ $•Is this property 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.
a / ciel-L000.5330 allot available in all ccounties.)r'�
Address(Number and Street) .�j) a6-o 41l - / -�Sa3 I]
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City State ZIP Code County
Primary property owner contact name E-mail it Cegt