Homestead_Weyer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the Sales Di Insure Form Title
aD 1 7'fl c 3t 6vd - a s1 L
Jr cs(Number and Str't) Company
Vi i / N M( Elate'2 c\---
City,State,and ZIP Code Telephone Number Email
E"SELLER(S)'%GRANTOR(S) ='— S _- -- _ .- __a_ :77-I':__ _- I
N.P.DODGE,JR,TRUSTEE
Seller 1- Name as appears on conveyance document Seller 2'Name as appears on conveyance document
2707 N.118TH STREET
Address(Number and Street, Address(Number and Street)
OMAN&NE 68154
F,BU,YER(S)'/,GRANTEE(S)_,APPLICATION•FOR.PROP;ERT,7iTAX D EDUCTIOIgS IDENTIFY,ALL ITEMS THATTAPPLY_ _ L__11�
•3a5o.r1 JOhn LJeter Rmn 1,4) a)ey-e.(--
Buyer I- Name as appears on convel once document Buyer 2'Nine as appears an conveyance document
CI 007,, 5 trO E gco3 s too t
Address(Number and Street) Address(Numbe- nd Street)
1:
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THE PROPERTY.IDENTIFY ALL OF THOSE THAT AP p ■ E D
.\1 Np CONDITIONS YES NO COSDmONS 1tl 9p1.
y� ��' 1. Will this property be the buyer's primary $ ❑ 3. Homestead ,({,etll Sy�t
l residence?Provide complete address of primary ❑ (1 4. Solar Energy Heating
residence,including county: �(
❑ L 5. Wind Power vice • -
❑ g 6. Hydroelecte
7 0'2. tl% Co.n eJ di I "Pr • ❑ .CZ 7. Geot9ghlgitOrPRYliatifieRbWrit Device
Address(Number and Street), ❑ M 8. Is this roe a residential rental property?
f1eZi , -_—,- cta -I- f�l 471„ 'et G I (J50.7 property like P P n3?
City,State ZIP ode County ❑ 74 9. Would you like to receive tax statements for
❑ 2. Does the buyer have a homestead in Indiana to be this property via e-mail?(Provide contact in-
vacated for this residence? Ifyes,provide formation below.Please see instructions for more inf
complete address of residence being vacated, ormotion. Not available in all counties.)
including county: ,'/,�///- I - -rr �/'� �`/� mss,
Address(Number and Street) 110 I J al/4� - tom!► s oat!
Primary property owner contact name Email
City,state ZIP Code County