HomeMy WebLinkAboutHomestead_Dyson (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
:D?PREPARERC 2 _._ —7-2 ;n_L x,,r—zTh, u� �., '.?r li,t,: ',1� • :`r-"- , ....::^.
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Preparer of the Sala rr Farm Tide
a& 7 'Tow.r, RD
Ad�andSaret) Company
F ''INCC'ibW4/ - "yj. q{7670
Stag and VP Code Telephone Number
E-mail
:E,=SELLER(S)/GRANTOR S)77 'T . Ti------_—____—.- _- ----- '-
CMt�RLES LU • D So4U
Stile I-Name a appears on conveyance*arrant Seller•Name as appears on conveyance document
44-G T4f'OWA, Ko-
A 'Jm(Number cnd57ret) Address(Number and Street)
P R,(NcE7b4v IN 47610
City, a,and VP Code City,State and ZIP Code
Telephone 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
and complete as required by law,and Is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signantrt o/SeB Signaarrto/SeOer �...tILE8�
ch e5 brS � rJ 20 -/7 g
Jed Name o(Seller Sign DotetMN D/rnrl Pointed Name of Seller ?Mg Sign Datt(MM/DD/nYY)
F(BUYER(S)/GRANTEE(S)='APPLICATIONTORPROP.ER DTAX.DEDUCTIONS-91DENTIEWALL°ITEI $}�[ ,APPLY' ' --
/ pe Way Ne Ltip D soiu
swirl-Na ar appers an conveyance dontme Buyer 2-Name os appears on conveyance ' m
670 501i 6nUNTY AUDITOR
Ad (Nu .bee oral Same) Address(NumberandStreet) G
Rkivc oNI/V 4167
Ory
E-mail Telephone llnmb E+nll
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS ERTY, IDENTIFY ALL OF THOSE THAT PLY.
YES NO CONOmON YES NO COMMON \\
0 1,Will this property be the buyer's primary CN ❑ 3.Homestead
residence? Provide complete address of prima �❑ g/Cooling System
residence,including county: ❑
5,Wind Power Device
Address(Number and Street) 0 cal. 6.Hydroelectric Power Device
0 a 7.Geothermal Energy Heating/Cooling Device
Clry,State ZIP Cade County rr���((
❑ ck 2.Does the buyer have a homestead in Indiana to be 0 14 8.Is this property a residential rental property?
vacated for this residence? Ifyes,provide 0 N, 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro e-mail?(Provide con ormation
availableinalllcountes)formoreino o n.
including county: on.
Not available in all counties)
Address(Number and Street)
24-12- 05-- -900 -000 J,,�-0a -
Gry,State VP Cade County
maryproperty owner confirm name E-mail
Number License/ID/Other Number