Homestead_Armstrong (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
rD REPATERW •tIT:W. it` -
.!�!',J rsetf/r/Jn
Preparer of the Sales Disclosure form Tide
3°6 74 fit,
Address(Number
ddddrjress /and Street)
E-mail
(ETSELTLER(S)`/.GRANTOaLV.\-. _,: . - . =?;_
•
GYM L, 61415
Seller I-Name as appears on conveyance document Seller -Name as appears an conveyance document
2.2/6; S 6LJno Sl.
Address(Number and Street) Address(Number and Street)
,4:2-40./7Sy'ret(° 2)0 y7 7 /v
City,State,and ZIP Code City,State and ZIP Code
E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of m ge is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Re r e S D cl ure Act".
d(a a ( 1
Signature of Seller/ Signature ofSeller
l v;4 L. 6,/47f ///02/2i NOV 16 2018 C.
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sian Date(H)4/DD/YYYY)
FF.WOYER(S)t/GRAN,T,EE S •APP, IOATION,IiOR'PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITAIS.1Pt?' ti ..
Buyer]-Nameasa atncnN not114TY AUDITOR
appears ion conveyance docum . Buyer 2-Name as appears on conveyance document
3o6 3( S�
Addressr�(Number and Street) Address(Number and Street)
( r,so rn„ r -1� 9 76 7
E-mail Telephone Number E it
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS AT APPLY.
YES NO CONDITION I ES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 1g 6.Hydroelectric Power Device
• ❑ LRI 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade Counoi
❑ ( 2.Does the buyer have a homestead in Indiana to be ❑ }g 8.Is this property a residential rental property?
T� vacated for this residence? If yes,provide ❑ W 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)
14() 1l '- 12-2 )3-003 -6)2702$-
City,State ZIP Code County
Primasy property awner contact name E-mail
Number License/ID/Other Number