Homestead_Patel INDIANA SALES DISCLOSURE FORM SDF ID:
Page 2
;D:REPARE;t1 eT `�' dr a'YriMs r' �j"f, atWPSc�
:
db 7feel5 /,'en/ Est-Ate 8ec,,kez
Preparer of the Sales Disclosure Form Title
702 5 Mfri/v St, S414- wee /Y/QPfs i et+lily
Address( ber and Street) Company
f R;Ate fop r/� �y a o
City,State,and ZIP Code ����� /- a /� - ���- �a�O
Telephone Number E-mail
t-Al CE KS reA/ty @9Mgit'Con
irs8f..—am)%GRANTOR(S) S_'"'i':: ;:a-F- -7=$-_4. In«..,_ : +4'' - :tr-s' sF r+( =`- -: va wi .---9s"-ok i
:FRIG Poweff 94i114 Cfe e'rV Powell
Seller l-Name as appears on.cpnveyave d ument Seller 2-N'ame asa ears on conveyance pp eyvncedocument
gis His //+rt.'c( Ate . 5/5 1/14A /# 4 f-1✓e ,
Address(Number and Street) Address(Number and Street')
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best - -- - - - - 1 e d g e and belief,is true,correct
and c p ete as re ' law,and is prepared in accordance with S._ "Real Prot . •s Disclosure Act".
r
CSignatureofSeller' (Sign tureofSeller
Err.2_f? {R4Jl.«. )a-n0_ t...c—lI
'Printed Nameb(Sellee Sian Date(MM/Do/YYYY) Printed Nameo(Seller Sian Dote(MM/DD(YYYI1
.FF.BUYER(S)/GRAM'TEE(S)=AP.I?liICATION FOR7I1ROPERTY T.1X'DEDUCT[ONSI'IDENTIFY-ALL ITEMSTHAT,APP.I.Y�R.1-`:,"WC:
. : a ' J -4 . : e
Buyer 1-,ame as appears on ton'eyonce document Buyer 2-Name as appears on conveyance document
/34 /'/ Kra iRIF DR .
Address(Number and Street) Address(Number and Street)
FvR(VS i/;//P TN. 57775
THE SALES DI5 SURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES 0 CONDITION � YES 0 CONDITION OCT❑ 3.Homestead 5016
4
❑ 1.Will this property be the buyer's primary ( 3 1 L U
residence? Provide complete address of primary
residence,including county: El 4.Solar Energy Hea ' /Co I terfi
❑ ✓(��/ S.Wind Po�ve� OITOR
D Address(Number and Street) -� �/� ❑ 1 6.Hydroelectric Power Device
-QOS 5' -7 1f11 Ti niveth a?u7bV9' ❑ R"7.Geothermal Energy Heating/Cooling Device
City,State ZIP 6,fai$e County
D ❑ 2. Does the buyer have a homestead in Indiana to be 3 ❑ �,/V 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ L7 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.)
2 Address(Number and Street) �t it �(n//1
D Ciry,s[aceZIP Code 1(410/8/1/ it / ,91,- (640 - 13-i4-awcenitiii
County
"Primary property owner contact name E-mail
1\