HomeMy WebLinkAboutHomestead_Hood INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer o e Sales Disclosure Form / ntl
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Addr,,(Number end eat) ! , C pant
Ciry,State,and ZIP ode J Telephone Number E-mail
lESSEEL•ER S '.GRANTORS T 4Er..= . _.:.i..-. '-4 ,_.. :.:.:1:::. .,, s-a,.4• ._.._• :a_,..c.4...-d ._w;_.... s•
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Seller I-Name as appeagnveyance document Seller 2-Name as appears on conveyance document
A ress(Number and Street) �/✓ Address(Number an street)477C ye
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and bell- ' true,correct
and coy�*plete as required'.by)aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosur• • t".
Signature of Seller Signature of Seller
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Printed Name of Seller Sian Date IN /DD/YYYI) Printed Name of Seller Sian Date(MM/DO/YlYY)
:'FaINER(SW RANTEEfSgAEEI?IGATION)F•ORIP-ROPERT;YtrTAX1DEDUCTIONSE4DEN,TIF.Y,AL'LITEMSvTHAVAPP,L'X'_ I -t I 1 :.1
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Buyer Name as ap ars on conveyancedorument ,— Buyer 2-Name as appea n conveyance document
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A s Number cad Street Addr•s(Number and Street)ILA/
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YE—S �0 CONDITION )
[�❑ 1.Will this property be the buyer's primary [Jl�' ❑ >1-Iomestead .J04 Ip �°'J
residence? Provide complete address of primary ❑ ,l/,,,'/4.Solar Energy I- pting/ 2pling Sy.Yeeo
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residence, county: ❑ �S.Wind Power De iteso,v - /6
Address(Number and Street) a ��
d 6//5 f ❑ �.Hydroelectric Power De�C�N mil`
Dcr ��/}N!f/ ✓ 97c % oW M/7.Geothermal Energy Heatin Cb A.
City,State ZIP Code County ❑ t�r �' g/ � �Device
❑ Does the buyer have a homestead in Indiana to be ❑ R----)..is this property a residential rental plrKpfrty?
vacated for this residence? If yes,provide ❑ sr 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) 0762C-719:7 t:/Q✓ VNi. 0,73
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Cry,State ZIP Code County
Primary property owner contact name E-mail