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Homestead_Montgomery (11)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 U PREPARER :" , LLOO WrtC,esSar Preparero(the Sales Dlttl r(�Form Title ,0\ ¶1• Stltl re. Vr � S�`kc 10A_ 7 % Von T \ \L AgenLu I LLL Addr - (Number and Street) Company �1 I`ll 3c rsrv �\\t , TTh �� 13O 10s.- a01 - 1300 City,State,and ZIP Code Telephone Number E-moil E;SELLER(S)%GRANTOR(S) . MU r f,1 CI, .-.0 t i- C Seller?-Nam[as Pearson onveya document Seller?-Name as appears on conveyance document A'y ess(Number and SS reet) '/ Address(Number and Street) / Under pen.?ties efjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct a ItfIomp •teas tell red y law, i • e glance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". IImil. _ s _' a r _ •igria[ure o/Seller Signature ofSeller 4144bane Rto e°"�) S./es />xt,� le/lit Printed Name ofSeller Sian Date(MM/DD Printed Name of Seller Sian Date(HM/VD/YYYYI F. BUYER(S)/GRANTEE( �PPLIGATION FORt PROPERTY::TAX- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPL 1 YES NO CONDITION YES NO CONDITION Nov at ❑ 1.Will this property be the buyer's primary [ ❑ 3.Homestead residence? Provide complete address of primary ❑ g 4.Solar Energy � • (/e„,; st: residence,including county: "aS•• C O air a r p Q S.Wind Power Device U/vTl, ” 923- 4/ Address(Namberand Sate[) El 6. Hydroelectric Power Device DI P^.h/P/r n ,1N (Ori'un ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ cif 2. Does the buyer have a homestead in Indiana to be ❑ © B. 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. /s ��tt Not available in all counties.) Q� Address(Number and Street) 2'4. /71' C,_ �K3- 00 1.307 OA 8 JcffCeu o - cntsn\ca(neri City,State ZIP Code County ,tI Primary property mar rcontact name E-mail