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Homestead_Deschamp
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER P% bl KEEL/£ S , „v . ,1 Preparer of the Sales Disclosure Form Title t4Si E ti Add ress Number and Strew ` Company Nom,. �1 �� .� C -as y City,Stare,and ZIP Code Telephone Nu E-mail E.SELLER(S)/GRANTER(S) avI s Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1411 C CCNSeRYAT(r':n Vin , Address Number and Su 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 c:iyi,ete as r q • d by law,and • repare accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". `� � A i Signature of Seller Signature of Seller Printed Name of Seller Sin ate(M DD/itr) Printed Name of Seller Sion Date(MM/OD,-Th F.BUYER/.GRANN --� TEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY ,, Buyer 1-Name as appears'on conveyance document Buyer g-Name as ap Pegnonronveyancedocument SCI I Q A Addren(Number and Street) Address(Number and Street) tj AA, THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT AP YES NO CONDITION YES NO CONDITION �� --1E1 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead )'�161b'A residence? Provide complete address of primary ❑ -D 4.Solar En C}PR trnVad- 0 ti(lR re idence,including county;tY ` ❑ 5.Wind Power Device <3-VI 4 o/L. ,-.. ICJ. Address umber and Street `� ❑ f] 6.Hydroelectric Power Device \^Gy swrn.4. A.� *N/12 2._ ❑ � 7.Geothermal Energy Heating/Cooling Device L11 ❑ 2.Does the buyer have a homestead in Indiana to be ❑��rn B•Is this property a residential rental property? vacated for this residence? If yes,provide ❑ bU 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contactinformadon including °nip: below.Please see instructions for more information. (��5 0 1 -�1, a 1 �(�-yi(i•{ Not available in all counties.) Ad\I sfhlu P i,.\ �� T lIi 0 1 A-/k.:\,, ab - la-05_ 900 - '7©I- 936-0011 City,State ZIP Code County Primary property owner contact name E-mail