Homestead_Meyer (16) INDIANA SALES DISCLOSURE FORM SDF.ID: - - - , Pa` e 2
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Preparer ofthes ({ales Dtsclasuri Forrrl Tide • -
'Address(Number and Street) - Company
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City, tar_¢,and ZIPCode Telephone Number E-Mall
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Seller I Nine is appeanon conveyantle document Seller 2-Name asapp earl on canveyance document
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Under penalties of perjury,I hereby certify that this Sales Disclosure to the best of my knowledge and belief,is true,correct .
and cornn�,gqCC�trleete as required by law,and is prepared in'accordance • IC 6?1.1 S 5,"Real PPr/oppeerrtySales Disclosure Act". '
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- .-'Printed Name&Sell 1 . ;Sian Date(NN/DD/WYP) PnntedhameofSeller - 117'151 of/DO/YYV1l.C.
�F.1BUyER W,GRANS'EE(S)t,'`APP1fICATIONFOR'1 hOaliftkNTAXDEDUCT[ONS IRENTdF- AIsL`IT S fd4P,Ittt a•:BuyerI;Natal asapaorranronveya`cedacument - `Buyri2 Nameas appear sontonieyance deal ep( -� 'nail
.Address Number and Street) Addresi(Number and Street) '
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• THE SILESDLSCLOSURE FORM MAY Be USED TO APPLY FOR CERTAIN DEDUCTIONS FORTHIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO , CONDITION YES •NO CONDITION
�j ❑ 1..Will this property be the buyer's primary 3.Homestead
residence? Provide complete address of primary ❑ is 4.Solar Energy Heating/Cooling System .
residence,including county: ❑
S.Wind Power Device
Address(Number and St i) - ❑ 0 6.Hydroelectric Power Device
• 9/4 r� /V l3 t 1)5 /1 .5r C i bb ❑ 0 7.Geothermal Energy Heating/Cooling Device
• City State ZIP Code County
❑ IN 2.Does the buyer have a homestead in Indiana to be ❑ ® 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ tZ,.. 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)
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City,State ZIP Code County
Primary property miner contact name _ E•mail