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HomeMy WebLinkAboutHomestead_Deffendall (5) INDIANA SALES DISCLOSURE FORM . SDF ID: . . . Page 2 - -4'-i ai_ 4.?; r"' ._I1kraliz:Vgst:a esle4;`-..��fr.til't"3�=^ .f" e;.z s gtrthw k-taw ..� x Preper"of the Sales Disclosure Farm Title ,// 5'- 'Ffaqc•6d Address Number end Street) Company R, hr.�t0ti /l/ 97670 57.2 - 779-639/ Ciy,S teand ZIP Code Telephone Number E-mail _=E r SEL-' R S 9:e,-ftraT.O'R S 'ar-S asirtn •'�,, ' -= .a-"-a:..h`ar,-s..as;..aas`..-°$7ix'aa-Yra 1 " cn Seller l-Name as appan ccc m(ance document Seller 2-Name as appears on conveyance document 9//--Crje'J'FA:✓r Sail/ Addres Nurryber and Stile) Address(Number and Street) �Ih4C 4.1 , ��1/ e-/7G7O Under penalties of perjury,I hereby certify/that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an(,/ty�`/.,y,mplete as re ed b I w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". V `L /mil, f/L2/j2sv' / Sigma�^^''re of Seller / Signature of Seller •AleR/C/G c 1/a A J o/'F/f i - Printed Namiof Seller'. . . -- .-- . _ .. Sian Date(MM/DD/YYYY) , - Printed Name of Seller - . .-. .. ..,Sian-Date(MM/DORTY)) 9F B_UYER(5)%GR TEES) AP,P,LICATION,F,QRP.ROP.EM1 1XpDEDl1G'fIONS IgENTIF,Ye'AL''LMF.4S;THATAVIRMa- e m-r& Y-c t -C-VepS i'LI /ree;L 1 % e/le -%%nd Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 101 Jai/%1- Gi5Sor, Sr / (e)/ (56j// Hi (r/11SOAi Address(Number and Street) Address(Number and Street) P k■Nl GE i o n� ...ti Di ,1 r. y X670 • - .- - 1; . ; r THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUC TIONS FORTHIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPI� L .11016 YES NO CONDITION I YES NO CONDITION l[) ❑ 1.Will this property be the buyer's primary Rh ❑ 3.Homestead GIB residence? Provide complete address of primary ❑ M 4.Solar Energy HeatingNc61 residence,including county: ❑ ❑ 5.Wind Power Device UoiToR Address(Number and Street) ❑ 2 6.Hydroelectric Power Deviy ❑ 14 7.Geothermal Energy Heatin_ Cooling Device • CiCity,State ZIP Code County • ❑ © 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8•Is this prope -• a e '• ! ml rental property? vacated for this residence? If yes,provide ❑ la 9.Would u ' • -ceive tax statements for this complete address of residence being vacated, prope I'-mail?(Provide contact information including county: below. ease see instructions for more information. Not available in all counties.) Address(Number and Street) a 40 -la-Q7 30 / -003 130 - o ,i,- City,State ZIP Code County Primary property owner contact name E-mail