Homestead_Harmon (2) \--I
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D BRERAARREERI r/ ._ _ "^ ,'7_r_ � - " -: . . ° nr, , - --- -� r-- ,
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YPreparer of the Sala D sclosure Form Tide
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Address(Number and Street) Company
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City,State,and ZIP Code Telephone Number E-mail
Ei liER(Sj%GRAN:T,OR(S) -, a' .,.-t=' -. -..T . s�' --- , . - -
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Seller I-Name as appea///s JJJn conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and�Street) 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
ant omplet require. •y law,and is prepared in accordance with IC 6-1.1-5.5 "Real Property Sales Disclosure Act".
igna?e of Seller g sure of eller
/r_/J, A//P�., /77/443/11"7.,- V I e l Ua r/non
Panted Name ofSeller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date Dtsimarhl'fl
F.•BU/NJER(S)`/.GRANREE(S)' AP P IL CATIONIFOR PROPERIWC- AX,,
e - 1111 COUNTY AUDITOR
YES NO CONDITION ES NO CONDITION
7 ❑ 1.Will this property be the buyer's primary . B ❑ 3. Homestead ._
residence? Provide complete address of primary
residence,including county: LI 4 4.Solar Energy Heating/Cooling System
(b(o ca Li Sso 5 ❑ 4 S.Wind Power Device
Address(Number and Street) / 111 33 6.Hydroelectric Power Device
(� r.. e/., 5,,;i/4 LA/ 4/766c 6:.t5-edi ❑ ,7 7.Geothermal Energy Heating/Cooling Device
try,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ p $ Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ,)J 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: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
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City,State ZIP Code County
Primary properryowner contact name E-mail
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