HomeMy WebLinkAboutHomestead_Barrett (12) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.P,' PARER
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Pre'or of es 4•Insure Fa • - ' .
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ress(Number and Street on
uahs�l r��. Iti 477IS �r- 4oz- 655,S-
City.State,and ZIP Code Telephone Number E-mail
'E ELLER(S)%GRANTOR(S) - '
to A • 1 i
r • •sa .: rs a aced.c ent Seller 2-Name as appears on conveyance document
A%Y Address(Number and Street)
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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 requir d b aw,and is prepared in accordance with IC 6-1.1-53,"Real Property Sales Disclosure Act".
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Si"n tture of,�/er I Signature of Seller
Printed ame of Seller exl
Sian Date(hi}f/DDM'YYI Printed Name of Seller Sian Date(WV DOM'Y1'1
F.::DYER SGG' •NTEE S ,APP LICATJON:FOWPROP..ERTYITAX'DEDUCTIONS-IDENTIFYALL IITEMS,THA"APPLY-
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iMIPlif MCI'e d• um�ennt If/I' (�7n�yJe(`/'���7f,..��((J``pn as ap ors on ccveeyyance do�aam��e�n/J' in
ess tuber and Str eI ress Num _
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS P Y.
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ] ❑ 3.Homestead II 77 qq '
residence? Provide complete address of primary ❑ f 4.Solar Energy HeatiYtW oLltlh Aem
(0.:,39 (Tesi( pcpA it cot�gt};: ❑ d S.Wind Power Device
umb n 3 ) '4760-uV (�I/ , �'f Iy_,(' ❑ LI 6. Hydroelectric Pone
l I I c Inlet lees I A/ `-�( `�Llo n ❑ [ ' 7.Geotherma aggieo&IR,Mie
City,State Code County ❑ Ei❑ 2.Does the buyer have a homestead in Indiana to be 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ [l 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: 61/ - I/� lea;�sgchLictrPC/s{t�f�rpgfGinfq;rtrct�on.
b / av Ilabl�(nlall co4rnlFxS. `m t(JGl�
Address(Number and Street) �/�\ ��'����; G 1/'tt1\' .I[y�j/�7,'//t t/�•
City State ZlPCade County N�� ✓I 1j J 7 �1 uric Jo --- �
Primary property owner contact n a E-mail