HomeMy WebLinkAboutHomestead_Hood INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Prepargrpf e Sales Disclosure Form Title
/6 57 R/�C -ST 1/l/T� S 777o G G t
Addr (Number and eet) C
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City,Sate and ZIP Code �- Telephone Number
E-mail
+E.,SELLER[S�T/,6rtAtNITiOR Sr:, . . `41.- - . . _ 7 ;_` '
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Sellel}-Name as appearim conv y�document Seller asa ears on conveyance
((Mlle 4/j 9 14/ /a V pp eyance document
Address(Number and Street) Address(Number and Street)
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Under penal 'es of perju ' - -reby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn!, -teas a ed t i - ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sianature o ,i Signature of5eller
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Printed Name of Seller S(qn Date(MM/DD/YY1T) I Printed Name of Seller Sian Date(MMIDD/YYYY)
EE??BUtYER(S)Y%GRANrT!EE S AP--P,LICATIONIEORIP,ROP,ERTIY TAX DUGTIONSUIDENiTjIF,YNALL1{1TEMSiTHATEAP,P$Yt:• , " -1
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Buyer I-Name as appears on cam,- nce document Buyer 2-Name as appears on conveyance document
42333 /v- /'2 £ t,•- T1 ---7 7� .
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
2-Th 1.Will this property be the buyer's primary LivI❑ 3.Homestead
residence? Provide complete address of primary GIBSON COUNTY AUDITOR
❑ �4.Solar Energy Heating/Cooling System
q/ re dent e,including coun :p C ! . /o %o S ❑ (37-5.Wind Power Device
Address(Number and Street) ��/t�// - ❑ R"6.Hydroelectric Power Device
CyNn7 / t>/gi "- -/76/ Z- fly ,/,£ 9".- 7.Geothermal Energy Heating/CoolingDevice
City,State ZIP Code C
❑ 3.-/ B.Is this property a residential rental property?
❑ 2" 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ LJ 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) '
06- I q -35-3°C) -CD( .s/(o-al
City,State ZlPCode County
Primary property owner contact name E-mail