HomeMy WebLinkAboutHomestead_Wood INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preeppaaarrree,r/off the�501 Disclosure Farm Title
Address(Number and Street) Company
/-262 G..r;UU:Th 4'ee 276 — T2, T -1ooy.s"
City,State,and ZIP Code Telephone Number E-mail
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rE..SELIER SRC RAN�TibR(S)J --
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Seller I-Name as appear on conveyance document Seller 2-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street)
110 2 CrI#FlTui A v c d(JeNZb- itKi
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and be 1 s tr orrect
and corn! teas required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property SaleTyDisclos 'r r�r t
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Signature W,ySeller Signature of Seller G/B 010
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Printed Name of Seller Sig Date eM/ODMTI) Printed Name of Seller •/ I�„r_.,Date MH/o0 1
�F BU,YER(S)%GRAN,T+,EE(S)?
AP Ph ICAT10NFORPROPERTLTAXtDEDUCTIONSD ENTIF tYfAL=TEMS T H ATA'PL' \
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Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document U/,
5953 F 3q 14. F r p,nSL?S..t, �r,i . 5-k5-3 c- , 3qo R.
Address(Number and Street) I Address(Number and Street) �/q
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
( ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ B/ 4.Solar Energy Heating/Cooling System
residence,including county:
❑ [I./ 5.Wind Power Device
Address(Number and Street) ❑ Kt/ 6.Hydroelectric Power Device
❑ rR ' 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County
❑ [ 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 ❑ 1.".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)
A q// -6‘-/ -JUU 'U60. Ls2-O/7
City.State ZIP Code County
Primary property owner contact name E-mail