HomeMy WebLinkAboutHomestead_Bota INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
a PREPARER
Prepares of the Sales Disclosure Form Title 3-0A ri E, 6or Inv r
Address(Number and Street) Company
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City,State,and ZIP Code Telephone Number E-mail
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E.SELLER S GRANTOR S
Jo n E. 84rb47:4r
Seller I-Name as appears on conveyance document Seller 2-Name as ears on cony
aZ 8 J v e E. /.5 0 5 e PP eyance document
Address(Number and Street) Address(Number and Street)
P1 In c el On III . 1/7670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn et 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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Sigr rea Seller Signaatre of Seller
Toil n E_ • 6cei b cc(r
Printed Name of Seller Sian Date(MM/DDIYn ) Printed Name of Seller Sian Date(MM)DDATTY)
.F,BUYER(S)/GRANTEES]-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT LY
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BuyerI-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
Z 3 S. J etc Ksvil 51.
Addrers( umber and Sweet) ( Address(Number and Street) JO
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLNtY
YES NO CONDmON I YES{ NO CONDITION '9(/n7
g CJ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead T0,?
residence? Provide complete address of primary ❑ ❑J 4.Solar Energy Heating/Cooling System
residence,including county:
123 f r -ieekSC n 51,a ❑ ig 5.Wind Power Device
Address(N umber and tregt) ❑ [T 6.Hydroelectric Power Device
09f Icn.i Cify _in. lingo
City,State ZIP Lode county ❑ 0 7.Geothermal•Energy Elea tine oling Device
❑ r 2.Does the buyer have a homestead in Indiana to be ❑ m�/ 8.Is this proper a j.•c .1 al property?
vacated for this residence? If yes,provide ❑ L� 9.Would you I.-e .:'• e ve tax statements for this
complete address of residence being vacated, property via :- tail?(Provide contact information
including county: below.Please see instructions for more information.
No available in all counties.)
Address(Number and Street) 9 /�/'J� /p /,(y/�2
City,State ZIP lode county do—/ _/ 9 /& 0000"' ` 5 —`"
Primary property owner contact name E-mail