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HomeMy WebLinkAboutHomestead_Hughes INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ciD=P.REP.ARERkYI:,/`=•,. ",�:- - irl4 n y c et Iticl O Lv,il.e.y- Prepareear//of the Sales Disclonlre Form Title 6.0/9S. Ru5Lsia Pnal,t) Sr. Address(Number and Street) Company to,nJSie.,u) [En'. 4/95y€ /2_ 63/-0035 Aknr645C. 9c76) /abo.cc,--. City,State,and ZIP Code Telephone Number / E-mail C E<SEGLEIIIS)%GRANTOR(S) is /rL4 Seller I-Name as appears on conveys ce document Seller 2-Name as appears on conveyance document leo/d/ -S. )4249 14 sra_ /Y14 t"&J '57 - 111II r Ki u2 Address(Number and Street) Address(dumber and Street) it) ; Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comps required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". R I' /l f, 67, Signature of Seller Signature of ler Printed Name of Seller • Sian Date(MM/OD/1TM Printed Name of Seller Sian Date(MM/De/YYYY) { E.?BUYER(S)1GRANTEE(S)'=APPLICATION FOR'PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY • '...• "r i l Byer I-.Name as appears on conveyance document Buyer 2-Name as appears on conveyance document Cli.r(5 nPAe.,-- Ai45he.s /MI/a, r4/4l.05 Address(Numberand Street) Address(Number and Street) 119 Al, „)R)a_ glitz u9 it awd . Ail;-• . THE THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. p T■ � fl YES NO CONDITION I YES NO CONDITION -tl{,\\•/ E ❑ Will this property be the buyer's primary ® ❑ O.Homestead 0�C 21 residence? Provide complete address of primary ❑ ® CRSolar Energytl gtina it ding Syst€6y8 residence,including county: , ❑ © cS?Wind Power Dev1i"@A T. Cn'. Address(A'vmberand Street) ❑ © n Hydroelectric Power De 73,, ❑ 2 Cj Geothermal Energy Heating/Colt%yevice Ciy,State ZIP Code County ID 0 C!Does the buyer have a homestead in Indiana to be ❑ ® Is this property a residential rental pr rty? vacated for this residence? If yes,provide Q ❑ (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. -7 Not available in all co�utnttiies Address(Number and Street) 2fliPQ - /3-0-.96, -00 / .�C 8 c/ -1007 G City.State ZIP Code County - b'.nT $ marl/ ,('ir✓g �)jp/yt'T'nys'tr!/C (rj1 Primary property owner cantatlt name 1' ya Ap0•&m/E-mail