Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
Homestead_Diehl H. PREPARER _
Preparer of the Sales Disclosure Form Title
VINOD C. GUPTA
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
BOCA RATON FL 33496
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
VINOD C. GUPTA
Address(number and street) Address(number and street)
117962 FOXBOROUGH LANE F
City,State,and ZIP Code City,State,and ZIP Code
BOCA RATON FL 33496
Country Country
USA __
my knowledge and belief,is true,correct,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature Seller Signature of Seller
.o
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller pf
Date Signed(mm/dd/yyyy)
, VINOD C. GUPTA 06/08/2023
J. BUYER S /GRANTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY A f AT ` P i
Buyer 1-Name as it appears on document conveyance Buyer 2-Name as it appears on cony yance docu ' i,
KATELYNE DIEHL y BRIAN LUNCEFORD i1J,i
Address(number and street) Address(number and stye ?Q- � _
5019 S LINCOLN ST 5019 S LINCOLN SO/Qso
City,State,and ZIP Code City, C
OAKLAND CITY IN 47660 OAKLAND nCITY IN 47660 OUP . ,
Country Country r 0 47
/TOR
USA USA
Email Address
YES NO CONDITION I YES NO CONDITION
r 0 3.Homestead
1.Will this property be the buyer's primary Fc
O residence? 0 ^(-Ct 4, Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated G V 5.Wind Power Device
O )Kyes,
. for this residence?Ifprovide address:
_� l 6.Hydroelectric Power Device
Address(number and street) O g 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code -- County �j /^�^y I Q, p ��y�7
Z�•r 4©-V y.r-* .Q 1 -• ee o . 4 l ( -oo 'r
�Y 1.
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
S f 'FF
•
