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Homestead_Donner
INDIANA SALES DISCLOSURE FORM SDF ID: 1 D.PREPARER Page 2 S4el0)14n1Q I 4clff4 C lose r Preparer of:he Sales Disclosure Form Tirle / / I 1 Aida. c9. #/-SO0 1-4, G4G/ /��e 1;64 Ma(Number and Street) Company lit6//4Ma O/f its 5-.d S'GZ.<iy 317-636 -35-57 City,Stare,an ZIP Code Telephone Number E-mail E.SELLER{SJJGRANTOR(Sl// ,II . • Feder./ /UG/iano/ NIO1494/c 45cOc' /, n (F4nn.'t Ace) Seller 1-.Name as appears on conveyance document Seller 2-,Nome as appears on mrvrrnnce document SSoo 6 runt fe Pk - y By: Mercer Belanger Address(.Number and Street) Address/:\'umbr:a y' Via and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 0 By: Mercer Belanger TSiynature�o/�feller d-2nnrd-ee I U4 Jh Sna>atattoanni in tact for as CFa�nnie Mae Printed Name of Seller Sian Dote[ilH/D.Tlllvr P.dnreakaLLEtederal National F.BUYER(S)/GRANTEE S) -APPLICATION FOR PROPERTY TAX DEDUCTIFHAT APPLY. - Dare- H/DDr!I' Sever I-.Gne Is appears on conveyance document Buyer 2-,Vame as appears on conveyance document Address(Number and Street) Address(Number and$acct) YES NO CONDITION I YES NO C0.N''DITIOY/es g U x ❑ 1.Will this property be the buy is primary- r mar primary I lX ❑ 3.Homestead -• u4 - residence, including county: L 1 © 4.Solar Energy Hea;ing/Goo !�System 5-HZ S. Lilt-4n S { • ❑ R 5.Wind Power Device /�/rOR Address(Number and;:reet) ❑ [ 6. Hydroelectric Power Device Sowttrv,•/fy, <N 976r; Cc:bson City,State ZIP Code Li El 7.Geothermal Energy Heating/Cooling Device County IJ (g'. 2.Does the buyer have a homestead in Indiana to be ❑ $-Is this property a residential yenta! 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 HA" including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Sreet) Z 6 .R City,State ZIP Code — , o -oa -to a Oa' /6, 10 on'3 County Pr: