Homestead_Kays (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the Saks Disclosure Form Title
l4' g 2 CON SFRJ>91tor- p2
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Address(Number and Street) Company
Parreccm-7 Tr LIerrX) fiia- ci44- (623
City,State,and ZIP Code Telephone Number E-mail
(E SEilER(V/,GRANTQR(S)T-r--T. _ ,_.. _-'4; '. [1:-.",,.» � _7__. ._ __ I
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Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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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_c�omm 1pllete as required
by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(
Signature of Selle Signature of Seller
sc8T r NO A/Y /a/Zb/Zri/91
Printed Name of Seller Sign Date(M.M/D /YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY)
}Ft';RU,YER.LGRANFEE S. ARBLICTATIONWO RPR RPR ORERTYTF1XpDEDUCTIONS IDENTIFY(ALLfT.EMSrT C ` `YL_= -]
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Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1438" .& Con,sraz,an-1-14) On_ OCT E2 2018
Address(Number and Street) Address(Number and Street)
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
0 ❑ 1.Will this property be the buyer's primary k] ❑ 3.Homestead
residence? Provide complete address of primary ❑ ® 4.Solar Energy Heating/Cooling System
residence,including county: ❑
0 5.Wind Power Device
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Address(Number and Street) ❑ 14 6. Hydroelectric Power Device
City,State ZIP Code County ❑ �A 7.Geothermal Energy Heating/Cooling Device
❑ [1 ' 2.Does the buyer have a homestead in Indiana to be ❑
vacated for this residence? If yes,provide ❑ ata1 IA��,1l 8.Is this property a residential rental property?
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(o -la-0S- 400- 00- qss DaA
City,State ZIP Code County
Primary property owner contact name Email