HomeMy WebLinkAboutHomestead_May INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.P.REPARER 1j'i =t•
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Preparer of the Sales Disclosure Fa 4. Tide
Address(Number ands et)
Compan
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Ciry,State,and ZIP Code Telephone Number
E-mail
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Seller I-Name asbppears on conveyance document Seller -Name as appears on conveyance eyonce dacumen
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Address(Number and Strrer� Address(Number and Street) /�
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hereby certify that this Sales Disclosure,to the best of my knowledge a t ` /b
is true,correct
and c/oJmplete as req fired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Distetple Act".
Sg alu40,,se er
1 ' ` 4 Signature of Seller
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Printed Name 9(Seller Sign Date(MW/DD/1117) Printed Name ofSeller
Sign
Date /F.'BUYER(S)/GRANTEE(S =APPLICATION FOR PROPERTY TAX DEDUCTIONS-lDENTIFYALLITEMSTHATAPPLY ,. - : all,'
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Buyer 1-NamJ as appears on conveyance document
Buyer 2-Name as appears on conveyance drum: t
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Address(Number and Street) y
e , I Address(Number and Sweet)
n.vicetv,�
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary ES) ❑ 3. Homestead
residence? Provide complete address of primary
residence,including county: ❑ (� 4.Solar Energy Heating/Cooling System
❑ gi 5.Wind Power Device \ 1
ardrer Lt ..9• (� ❑ 1E 6.Hydroelectric Power Device
TA-\ .S.FDRM icsacy 54- co-(nlrryr/�f i:TO G7�( v ❑ -
CirySmteZ/PCode J ) 7.Geothermal Energy Heating/ •• g Device
County
❑ B 2.Does the buyer have a homestead in Indiana to be ❑ $ is this property a residential • l property?
vacated for this residence? If yes,provide ❑ 15J 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 avail In all counties.
Address(Number and Street) a _0 -2_ _OG/ -7077_ Oo?2
Ciry,State ZIP Code County � 1 yn�"PYa&J Nay