Homestead_Barrett (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
:Tic P.REPARER Rnr1t-f2i-., ;.: },v-"r kK{ �y : 1.__-�+`* R=s'::�'S.. 5'S, r,rr- v
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Preparer of the Sales Disclosure Form ' \ tle
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(Number and Street) Comy
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City,State,and ZIP Code Telephone Number E-mail
.E:SELLER S.".GRANTOR S .:: -.: .�`?"','- ,.x;, r-u=="' - tt`t'--,. f. - z: ` yT
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Seller I-Name as appears on conveyance document Seller 2-Name as a
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appears conveyance document
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Address(Number and Street) 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 co tte a equired by ared in accordance with IC 6.1.1-5.5,"Real Prope Sales Disclosure Act".
Sjge reo Se e71 r Signe of Seller
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Printed Name of Seller Sign Date(MM/DD/YYYY) Prin d Name ofSeller Si n Date(MM/DD/Irrq
2F:7BUY R(S)J�BANTEE(S)YAPPLICATION:POR'PROP.ERTY;TAXDEDUCTIONS=IDENTIFYALL= T AT P Y L, ' ., ; ;_6r.;
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• •... .n roar •aced,.. nr
Buyer 2-Name asa
� appears on conveyance document
1608 GICiL Ged IOn FEB 25 2016
Address(Number and Street) Address(Number and Street)
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