HomeMy WebLinkAboutHomestead_Cummings (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
C.Allan Hoffer Closing Agent
Preparer of the Sales Disclosure Form Title
1842 E Spring St WT&S Title LLC
Address(Number and Street)
E-mail
E.,SELLER(S)/GRAN:TOR(S)
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Seller 1-Name aasappears
c veyancedocument / ��/J7/ Selleer2/-_Nam eas appears onconveyancedocument -,
Address(Number and Street) .7::
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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 C -1. -5.5," ear Pr a ty Sal s Disclosure Act".
S' nature of Seller Signature of Seller
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Printed Name er Ian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUY. S)/GRANTEE�E(S)';—APPLICATION'FOR PR.RERTY TAX DEDUCTI-ONS—IDENTIFY ALL/ITEMS THAT,APPLY
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yer 1-Name as appears on con e once document Buyer 2-Nam
C e as appears on onveeyyaance document
A Nt Address(Number and Street) 1 ,/
1, i./(1 l r I/7 6- ( .2;7: 4-77 G. )--- At//:-/ZA/f t/iz_e— ,t-'
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO ENTIMY AI.1.ON t THAT APPLY.
YES NO CONDITION ES NO CONDITION O C T 1 2019
[7 ❑ 1.Will this property be the buyer's primary (.1 ❑ 3. Homestead
residence? Provide complete address of primary • ergy Heatin m
sidence,including coun •
( n�f�.� �Ni ❑ LJ 5.Wind Power I ON COUNTY AUDITOR
es (Number and Street ❑ Er 6. Hydroelectric Power Device
r`c �f�frG� . - , /�66 . . r/isso,�>
❑ [ z 7. Geothermal Energy Heating/Cooling Device
City,State ZIP ode 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 ❑ ❑ 9.Would emu ax statements for this
complete address of residen ing vacated, roperty via e-mail?(Provide conta ' ormation
including county: below.Please see instructions for more infor ion.
•.________,. Not available in all counties.)
Address(Number and Street) 1 /r) �29^l u 0 W e( ^ 13(r► ._..O n(
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City,State ZIP Code County
rt rrerrvetneevrem E-mail