Homestead_Miller (5) C
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Prepares of the Sales Disclosure Form Title
530o Snate x.'waS RD
Address(Number and Street) Company
ac.(NsJlIle- til Rrll ► (zoo) n -- 9M/D
City,State,and ZIP Code Telephone Number E-mail
F.E;StE'i;E1Zg/GRANTOR(S)s-r- ' r'aa ail--'.'}:. >-. aA2.i 't7.2;n a'3i y ti ..".a.a,. St.4 .s`t;`'U' ,.' ,CE
i ' • 1) _ .. Yi c a_e L �Urlc*cb �
Seller -Name as appears on Co ,eyance document Seller 2-Name as appears on conveyance document
3._. 1 _ r•_ to ► 5-Boo r-72.4 iJ rDu U -0.Z
Address(Number and Street) Address(Number and Street)
EupNS LI
Under penal(�' s of perju 1 ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and mp/!llI to e it v,and is prepared in accordance with IC 6-1.1-5.5, Rea/ropertx,5 e3 s�osu Qtcip
i atreopelic Signature ofSelleerr_Len L Il"'tJ
I'l J• I--I lc(-17 - /22iaMn/ )4t2k1S4CT 2 g 2016
Print dName of Seller Sian Date IMM/DDATYf) Printed Name of Seller Man Date(MM/DDIYYYY)
ETBUYER(SVGRANTEE(S)""AP.PEICATI0NTEOR PROP.ERTiY TAXIDEDUETi0N5-I DEN TIFKAL'L ITEMSITHAT,AQ yaiwy, fac y
.-Noe. MY\\o_r "/ edlas°. Ke.tine r r l , ./•Ip►1•
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance ding-1860N COU TY AUDI I UK
ao$ G MoniA•osme ci S!. • aae F_. Mbnyb%oMer-i tt.•
Address(Number and Street) Address(Number and Street)
OWe,uSViIIes
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERT a.....a '.SE THA • Y.
YES NO CONDITION NO CONDITION
0 ❑ 1.Will this property be the buyer's primary NI ❑ 3.Homes •"•
residence? Provide complete address of primary il Fad 4.Solar Energy Heating/Cooling S st:
residence,including county: I
Z�E e� ❑ ® 5.Wind Power Device
tttexty Address(Number and Street) /� ❑ (g 6.Hydroelectric Power I-v'
1 )Ets &Jl I LG -MA � 1u, L7lbofl ❑ ig 7.Geothermal Ene : -. • g/Cooling Device
City,State ZlPCode County
❑ N 2.Does the bu}; •• es i ,i";! na to be ❑ IN 8.Is this property . re• .ential rental property?
vacated for thj - 1. 'hc1?., If, If p i 1 ❑ ® 9.Would you like to receive tax statements for this
complete ad. a • •• =1. • :i ated, property via e-mail?(Provide contact information
including county: - . - below.Please see instructions for more information.
(1061-11 8 2016 Not available in all counties.)
Address(Number and Street)
_ �—r-7- la-aoa.-o Do. (oat( -Does,
City,State ZlPCode i1ri County
it