HomeMy WebLinkAboutHomestead_Bishop (4) INDIANA SALES DISCLOSURE FORM SDF ID:— Page 2
D.PREPARER
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Prepare:Odle Soles Disclosure Form 7ltde
797 F Sit+-e S-h.
Address(NumberandStreeJt�) � -�^ `, \\ ) / y Company
(e1n1 AIC e_` LN "u7670 It 2. 2- - mi 75 y LOD.bA
City 5td[G and ZIP Code Telephone Number E-mail
E SELLER S GRANTOR S
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Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
II ' A) P?a;ej S+.
1Address(Number and Seen) � Address(Number and Street)CO
Or. L. to / �yb4
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 b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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SignatureofSeler Signatureof Seller
1)04/4/4 P a/stet)
Printed Nome o(Seller Sign Date(MM/PD/YYYI) Printed Name of Seller Sign Date(MM/DD/nfl)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM TN ) L
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"on Buyer 2-Name as appears on conveyance
7t-77, Sled sf
Address(Number and Street) -�y''- � � 4I 7476
Address(Number and Street) AUG 2 8 2017
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY AU.OF THOSE THAT APPLY.
YES NO CONDTTON NO •• P ON
❑ 1.Will this property be the buyer's primary ` K ❑ 3.Homestead
residence? Provide complete address of pri .ry ❑ a 4.Sear nergy eating/Cooling System
res dence,including county:
742- E 5t e S.r. ❑ 0, S.Wind Power Device
dress(Number and Street ❑ I, 6.Hydroelectric Power Device
u t tl•6s) 4'76 70 G-1 bs0 A,) ❑ ta 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County �z1
❑ 1 2.Does the buyer have a homestead in Indiana to be ❑ 10 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 'Lt ❑ 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.)
R6 -/d -0 7 — o y .7y/-0 ?J
Address(Number and Street)