Homestead_Whitledge INDIANA SALES DISCLOSURE FORM SDF ID: • .page 2
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Preparer of the Sales Disclosure Title
91a 0 nty,lL cf 1 k J6 Dpani un, -l-� & l t—
Address(Number and Street) Company '
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City,State,and ZIP Code Telephone Number • E-mail
!O.SE IIER(S)`/.GRAN:TOR(S) ¢ T.., ry< --» . ' "-
b- ('ohn T Si-t j/L
Seller l-Nam as appears on conveyance document ' Seller 2-Name as appears on conveyance document
- 7t�'I k C 350 S - 781 b' E. 35-0S
Address(Number and Street) Address(Number and Street)
firnnerstO aid UTh -/ F,?jnciS(o tl g701-l9
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowle I :land belief,is true,correct
iicomplete as uiredp'law,and is prepared in accordance wi C 6-1.1-5.5,"• • -I Prope• Sales Disclosure Act".
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of Seller - Si nature of Seller
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• 'nted Na the of Seller Sign Date(MM/DD/YYTY) Printed Name of Seller • Sign Dbte(MM/
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Buyei•I:Name as appears on conveyance document . Buyer 2-Name as appears on conveyance don` nt .
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Address(Number and Street) 0 Address(Number and Sweet)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT Ate). -740r
YES -- CONDITION YES NO CONDITION r'aUnf
1.Will this-property be the buyer's primary �❑ 3.Homestead /0R
residence? Provide complete address of primary ❑ j"4.Solar Energy Heating/Cooling System
-/OU� re,�idence,including county:
/t0 i& uo,,,-f ur ❑ ,,_, /5.Wind Power Device
']fdress(Numb/r and Street) v' l yr�� ❑ EV..Hydroelectric Power Device
i"r,h cp'f� ,1 / y7 107 0 M 1 b50 ■ ❑ tN"7 Geothermal Energy Heating/Cooling Device
UCiry,S to ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 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. ,
117 S-4GnPlit e "7),A Not available in all counties.)
Address(Number and Str t oag.
(ikc4nf( (er • Ai (41lr/0 U,br. ,-c(C 210-/Q -off• aoy o03 tidy
-city,State ZIP Code County
Primary property owner contact name E-mail