Homestead_Ota INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Tait Meets Kraity-
Preparerof the Sales Disclosure Form - Tide
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��q3ddress(Number and Street) Company
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City,State and ZIP Code Telephone Number /� E- it
fit/.7. e0 m_Ei.SELLER(WGRANTOR(S) - ._±.• --. . _ _,_. . _ -_..--- -
Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature ofSeller 1 Signature of Seller
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Printed Name o Seller Sian Date MM/aaisw Printed Name a Seller Sinn Date Al roads •
L E'.BU,YER(S)%GRANTEE(S)1 ,APFILICATION.FORIPROPERT,YL TAX,DEDUCTIONS-IDENTIFYA E,REMSTHAT,APPLEY..___ ____ ,_
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:Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docume•t
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Address(Number and Street) Address(Number and Street) .
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•'THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OIG) &ET PPLY. DI/
r YES NO CONDITION YES NO CONDITION 0/v
g ❑ 1.Will this property be the buyer's primary E' ❑ 3.Homestead O�NTY
residence? Provide complete address of primary ❑ ® 4.Solar Energy Heating/Coolil/ y5tem
residence,including county: ❑ ® 5.Wind Power Device OR •
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Address(Number and Street) ❑ ] 6.Hydroelectric Power Device
t/&7N /1l/ W7(°KI� ❑ ® 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
it ❑ (g Does the buyer have a homestead in Indiana to be ❑ ® 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ® 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) 2 �-oa -_T 9Jo/ coo 0 a30/
City, ZIP County Live/k Kel6t ATSV J-9M91/.Cot.
Primary property owner contact name E-mail