Homestead_Head INDIANA SALES DISCLOSURE FORM /SDF ID: Page 2
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Preparer of the Sales Disclosure Form Title
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ress Number and Street) Company
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City,State,and ZIPCode Telephone Number E-mail
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eE: ELLERS GRANTORS) -ate < - .r.-_.�=�i��;x,9Z�a*,;�_ti._ .z . i,a-r_c . ��;,..r tiz>� _ _.;-�_s,=
tors S E -V)-: Idle-l-bG,c- I<
Seller I-Name as appears nconveanced u eat Seller 2-Name as appears on conveyance document
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AY (N oche gd Street) 1 - 11 i to 00 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
a dd complete as req ed by law and i prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". —
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Signature o/Sell¢ Signature o/Seller
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Printed Name of Seller Sian Date(MM/Da/YYYY) Printed Name of Seller Sian Dare(M.M/Da/rv19
I FE BUYER(S)`/GRANTEENY061T1CAT!0EP FOR-U PROPERViiTAX4DEDUETIONSLIDENTIFYrAEIRFE-R HAVAPPOt' 1 2'
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Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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FORM SALES DISCLOSURE FOI MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE TI T PLY. H ?
YES NO CONDITION I YES NO CONDITION 4,0
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❑ 1.Will this property be the buyer's primary ❑ 3.Homestead ,n,-
residence? Provide complete address of primary ❑ gi 4.Sol,/p Ene / {eating/CU6�tg System
sidence,including county: ❑ ® S.Windf61 z:,, v
address(Number and Street) ❑ ® 6.Hydroelectric"b 'all I -To K A- S N t fK m a- *16 66 -', 1), soh ❑ ® 7.Geothermal Energy l jt�a/Cooling Device
City,State ZIP Code County r r4
❑ vi 2.Does the buyer have a homestead in Indiana to be n ® 8.Is this property a residentia �ntal 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: r'� below.Please see instructions for more information.
a (:) ttjovai'alhle in all counties.))/� ^/ r
Address(Number and Street) ' v-/ L 45 I D I 000.0 /.7 -oa D
City,State ZIP Code County AniporiA S / It��d
Primary property owner contact name E-mail