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Homestead_Coomer (26)
f„ t, r"Y E% Yr Q¢ zsn • S r f ,INDIANA SALES DISCLOSURE FORM SDF11.1 ,�4 rR G Page 2 D:PREPARER 71 - =- . . _ .;' r} r . :• ; /4/// • - 'f .rS• C2/..)�Io c• Preparer of th Sales Disclosure Form Title e099'/1/Sciw Ad�drert(Number and Street) ( � E.SELLEk(S)/GRANTOR(S1' '.... ' '...:.:,. ;: , .fv • D Pa Akers,/., ,� /v �'), -I`errs,p . Seller 1-Name as appears on conveyance document Seller 2•Name as appears on conveyance document Fo9lAJ6b0-) e0 i✓ .5-3zv Address(Number and Street) Address(Number and Street) _b2%7L ZN 2&,V /--/-tit/e, .,Li-i 5t7 ' �� Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct _and omplete as require by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signatur of Seller 0>L' -5c f 0 fa l-ie r50 //21 -/`f ,'�o A / e'r-5--1 //�1 -/ 7� Printed Name of Seller Sign Date(MM/DD/YYYY) PrintedName ofSeller Sign Date(MM/DD/YYYY) F.BU . TION FOR PROPERTYTAX DEDUCTIONS=IDENTIFY ALL ITEMS THAT.APPLt::' '-:: -- .• .1 :- 1 e5Se (c rini ve once docu Buyer 2-Name as appears on conveyance document 4/0/ Al 71)Ir GZ 5i . Address(Number and Street) Address(Number and Street) Pr/7 ee 7Jn Y76 7= 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 NO CONDITION - er ❑ 1.Will this property be the buyer's primary 12— ❑ 3.Homestead residence? Provide complete address of primary ❑ ar nergy eating/Cooling System i residence,including county: ❑ s - 5.Wind Power Device , Address(Number and Street) ❑ - 6.Hydroelectric Power Device ❑ ©-7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ kj• 2.Does the buyer have a homestead in Indiana to be El8 Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Eq- 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: be ... 'lease see instructions for more information. Not available in all counties. Address(Number and Street) rr� MM City,State ZIP Code Cou • 2L I Z b7- IO3-vv3. -q 2 ' Number License/ID/Other Number