HomeMy WebLinkAboutHomestead_Smithheart INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Prepares of the Sala Disclosure Form Title
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Address Number and Stre�ey � Company
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City,State,and ZIP Code / Telephone Number E-mail
fE?SEBEERIS)%G WIT OR(S)1.:A ".�,r�•"'„` a:'-t mss- ..r. :' x."`4si -aaS e L a if•,..:.Ci :J rr.,°c ;:-;r...:, -
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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(Nycn er and tree/) Addrtss(Number and Streeg
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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 c lete as required b law,and is prepared in accordance with IC 6-1 a 5.5,"Real Pro. • S. e Disclosure A "
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nature oA i ! 4. ifi e45 2-�-45— Sjgna eo tter./z D ,4 eks z "..i i(s-
PrintedNameofSeller Sian Date(MM/DD(YYYI) Printed Name of Seller Sian Date(MM/DD/YYYY)
.E>BUYERL)/.GRANTEE(S);rA$PLICATION;FOR3P..ROPERTYTAX+DEDUCTIONS.. IDENTIFY>AliLITEMS;THAT,'AP.P,hY..,,' _ -.` "V"'z•:aF
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Direr 1-Name as appears on conveyance document Buyer Z-Name as•ppears on conveyance document
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Address(Number and Street) Address(Number andgtreet)
0,.V Ito j C:-kr tn.) 4'1660 Oa1,c_`a.., C ti 1 N1 in V00
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THE. 'PLY. a ,V .-s"� -c�7-�7
YES NO CONDITION I - - : CONDITION _•�(M�i/
X ❑ 1.Will this property be the buyer's primary . ! ❑ 3.Homestead .
residence? Provide complete address of primary • P2 4.Solar Energy Heatin: Cooling System
residence,including county:
❑ R 5.Wind Power Dev' e
a
Address(Number and Sire
IL 5�r�,,.� �/, ❑ �: 6.Hydroelectric '.wer �:�ice
3/, eZIP /10 � j�;� �Se4%P (r" r.� County ❑ ,��-a
7.Geothermal E e: +� •sting/Cooling Device
City,State ZIP Code g ASP
BAN
❑ X 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this grope -sidential rental property?
vacated for9 Rrgs ete¢t If yes,provide ❑ X 9.Would you k, t' receive tax statemen for this
complete ac res o rest ence being vacated, property via :- ail?(Provide contact information
including co nty: below.Please see instructions for more information.
i.. . .i Not available in all counties.)
Address(Number ands i SON COUNTY AUDITOR /\''m �/ ,On �I.
City,Smre ZIP Code County
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Primary property owner contact name E-mail
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