HomeMy WebLinkAboutHomestead_Gendren INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Vinod C.Gupta
Preparer of the Sales Disclosure Form Title
17962 Foxborough Lane
Address(Number and Street) Company
Boca Raton. FL 33496 561-487-2742
City,State,and ZIP Code Telephone Number E-mail
E:SELLERS)/GRANTOR(S) ---' - :. .., •. . * _ .o-r .; _, - —• -: ' .._ : ' .€,- , .
Vinod C Gupta
Seller I-Name as appears an conveyance document Seller 2-Name as appears an conveyance document
17962 Foxborough Lane
Address(Number and Street) Address(Number and Street)
Boca Raton FL 33496
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowle e an belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.p$ op v isclosure Act".
U -•{1� g(
Signature of Sell Signature of Seller
VinodC Gupta- 2 - j( - 17 FEB !7 ����
Printed Name of Seller Sian
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TTY. s NTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
Mj ❑ 1.Will this property be the buyer's primary Mj ❑ 3,Homestead
residence? Provide complete address of primary • 4.Scrim—Energy - -• mg/Cooling System
residence,including county:
*. _�7 )� ❑ �s.Wind Power Device
[�A2 1 a alOCr4C0 Zw
Address(Number and Street) / ❑ Hydroelectric Power Device
C9/b�xif Cor -!- 41, ❑ �.Geothermal Eneru Heating/Cooling Device
City,State ZIP a County
❑ Does the buyer have a homestead in Indiana to he ❑ /8.Is this property a residential rental property?
vacated for this residence? If yes,provide LI 14 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)
City State ZIP Code County
_S/9tiCI ;etidee.(/ byeskue
Primary properly owner contact name E-mail