Homestead_Parshall INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2
UTRREPARERs P lit," i.70;!t..wto t- CI ,4 c- =_.. • r7� " . .�+,a N.n..-..: Aa i -
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fthe Sales Disclosure Form Tide
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Address(Number and Street) Company
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City,State.and ZIPCode Telephone Number E-mail
hE SELLER(5AGRANTiOR S) ..i �t''t= { •-rv-�,--.�-: 1Wr R
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Seller I-Name as appears on conveyance document Seller 2-Arne as appears on conveyance document
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Address(Number and Street) Add (Number a nd Street)
/471" e/l St�-.7 1 &I !/76,Vo 77l714 -t /
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Under penalties of perjury,l 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 6-1.1-5.54"Real Sales Disclosure Act".
Signature ofSelle / 1 Signs mereea elehleerrp
Printed Name of Seller Sian Date(MM/DD/YYYY) Mated Name of Seller Sign Date MM/DD/Y1'YF)
9F UYER(S)/GANTEE(S)1AEPEOMiilaTEMIFIOP.ERTAT•'AX DEDUCTioNS=-IIDENTIFYTAl dTEMST)Ti ii. ;'A' it ■ s
Buyer 1•Name as appears on conveyance document toyer 2-Name as appears on conveyance document
%y S (,471er '/vV S (e' >/?r u!: 11
Address(Number and Street) Address(Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
®— ❑ 1.Will this property be the buyer's primary ❑- ❑ 3.H. ..•. -.
residence? Provide complete address of prima • a' M 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ❑- S.Wind Power Device
Address(Number and Street) ❑ Er 6.Hydroelectric Power Device
❑ M- 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
❑ e 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
. vacated for this residence? If yes,provide ❑ ❑ 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) J r,� '- 19-19—ID/_�O - �'SQ -Oa.-6
City,State ZIP Code County tT`V / 7 E-mail
Primary property owner contact name