Homestead_Turpin I!INDIANA SALES DISCLOSURE FORM SDF ID:
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Preparer of the Sales Disclosure Form Tide
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Address(Number and Street) Company
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City,State,and 2IP Code Telephone Number E-mail
E:SEIIERjS)%GRANTOR(S)@ " 'c :M aT -v E }t'-''4-rt i rifi—Xr.?ss r:70 FP7L.0 r-..t a --J. Kps s _wk`_.-V.S.
Seller l-Name as appears on co • ed°�'ment Seller 2-Name as appears on conveyance document
Address(Number and 5veea) T� Address(Number and Street)
City,State,and ZIP Code flat,State,and ZIP Code
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elephone Number E-mail Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
d complete_as required y law,and is pyep red in ac ordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller /dy Signature of Seller
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Printed Name of Seller —_ SI n Date MM DD Printed Name o Seller Si n Date MM/DD
.P”B_I-Y %GRANTEE(S)rAPP,LICATI IFORRROPERT gTAXDEDUCTIONSuIDEN:TIFX Ail-;ITHMSrTHATIAPP,LY uh ?.--
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uyer1-Name as appears on comvrya. elocomen Buyer 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)�-!
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City,State,and ZIP Code City.State,and ZIP Code
eI tit_ 032019
Telephone Number E-mail Tele I n er E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH OPERTY. IDENTIFY ALL OF THOSE THA PLY. -
YES NO CONDITION YES NO CONDITION
x ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead ) COU Y Akio
residence? Provide complete address of primary �10� ' g/Cooling System
residence,including county: ❑
1*3 S. Snldianac S-E• 5.Wind Power Device
_Address(Numbeerand Street) / ❑ [ 6. Hydroelectric Power Device
!)•Acetoi•7 ;2"-Ai `!/7cc7U �6SOn/ ❑ ig 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
D g 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 ❑ 9.Ws e , i like to 1 eceive.tax statements for this
complete address of residence being vacated, property via e-mail?(Provide cae n ormation
including county: below.Please see instructions for more in motion.
q Not available�l/ine in(all counties.)
Address(Number and Street) CC��//k)�0 2- i `
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City,State ZIP Code Coun C ✓ Cw
• 'meg property ownertontat[name E-mailgr1/44
Number License/ID/Other Number