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Homestead_Beard (10) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 MDTIEREEAREl21--.7 - ; ll; � fit:Arc-dn. Vi-6e. ) rl n . Preparer of a Saes Disclosure Form Title 7Olt CD(�t� ))k L Sfdi � cir , Tr7 Ad r``i(Nu b�erI ay Stre€t) Company 1 ItA cfal -f-f"t il76 3f �1J-Grrc-oi3 7 n4:1@fc., t��,o0-es.,.O.w, City,State.and ZIP Code Telephone Number 1 E-mail E.SEULER S r.GRANTOR iS f .• '—__ a_..• - . , S Ere u�-ts4 Til C_ `s Sel erl-Name as appears d, nv ace doc m t Seller 2-Name as appears on conveyance document , 3� (4r*r cc) 6 r � Ad ess(q'um6 and Stun) Address(Number and Street) �� // -,hs MI I- l4/ Y7G 3 9 9 Telephone Number `� , '111. III E-mail(cOck Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledg n t -at•• p��i-ue,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property lo;IA osure Act". G S atur�eller I Signature of Seller ciosOt. ' lit\ yediireoh.1 *57)017 Printed Nara of Seller Sign Date(MM/DD/TYM Printed Name of Seller Sian DateJMM/OD/YY•Y) I F BU,YER SS cGRr1`N;TiEE±S:I APP,fiICATION ORYP.ROP.ERTYLIAX,DED.UCTIONS AIDENTIIP X1111ITiEMS;THAT%AR8bY - -- A,fA7 13e4/J )re, of3 are Buyer I-,,am as appears on conveyancedocment Buyer 2-Name as appears on conveyance document yol Ue5'1- 6./1-eld 4vt VQ / G,lsf Ga✓c:•e i 4ire Addressk1 (Number and Street Add ess(Number and Street `'fi Ale Itn f,✓ 97670 Vj:A1e�n ,�N , 7v -2o Telephone Number E-mail Telephone Number E-mail 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 [g ❑ 1.Will this property be the buyer's primary [8 ❑ 3. Homestead residence? Provide complete address of primary ❑ A 4.Solar Energy Heating/Cooling System residence,including county: ❑ ® S.Wind Power Device `�;3 ko �e Gd/+ e�� � ,t a, Ydress(Numberand�yeet U -, 7b ❑ ® 6. Hydroelectric Power Device (,fteCluV, ❑ ® 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code 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 ❑ W 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information i�elu^ding unty: below. Please see instructions for more information. -)1 5 . Yv r^4n� 5 _ Not available in all counties.) Address(Number and screed. `1 1' e� t. rI I\ r� c 1 Gk�`�Q --\ 0 r `^ 0 k-i Zen - 07—g Vc.,1 \-b(, F/• Y I4 `V Vi�S °r ` ol� 1 U lV J—V V 'l J City,State ZIP Code County — Primary property owner contact name E-mail