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Homestead_Hayes (11) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREPARRER °ter -; PrepareroftheSal� le?OfsclosureForm Title $741166/u2 Address(Number and Street) Company City,State, P Cod Z / Telephone / E-mail IVl e- E SELLER(S)/GRANTOR(S].= . _-r;: Z_. '. V_ Y .. . . � 6— fig44 77S _ £ 4� Seller 1-Name as 9fears on conveyance document Se11er2-Name as appea n veyance d cument Address(Number and Street) ess(Nube and Street) , �/lf� R.CSC' iJ r 5 0 % 1 Lt. 74, 70 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 I - 1-5.5,"Real Pro les Di losure Act". Signature Seller Si re of Seller /j,q-02V � Mir c5 /—/ o -aj / c� d 1��� 6� .1-c h b Date (MM`/DD/YYYY) F.BUYE NTEE(S)`=,APPLICATION FOR AX:DEDUCTIONS-"IDENTIFY I T APPLY_. Buyer 1- ame as appears on conveyance document Buyer 2-Name as appears onconve du<f�n - t tt�� Addr (Number and Street) Address(Number and Street) JA N 1 o k^i'" tC_-c•----(3-r` -emu- ` '17 C4-7 c� 2020 City,State,and ZIP Code - . Telephone Number E-mail TelephoneNumbber -S O N ,O U NNTY E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P PERTY.IDENTIFY ALL OF THOSE PLY U DI I OR YES NO CONDITION YES NO CONDITION [ ❑ 1.Will this property be the buyer's primary Er ❑ 3.Homestead residence? Provide complete address of primary eating/Cooling System 3© t 1 residence,in county: ❑ [ 5— Wind Power Device T 1� t 'T)-rj 4 h S i, u Mare(Number and Street) ❑ ®--6.Hydroelectric Power Device v-t-7-cc,6,44.3 s-1_ --z - 44?6 7 a El � City,State ZIP Code County y-Geothermal Energy Heating/Cooling Device ❑ 0".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 ❑ p--4•Would you like to receive tax statements for this complete address of residence being vacated, pro•-._ -: - . ' • :s e contact information including county: •elow.Please see instructions for . = . ormation. Not available in all counties.) Address(Number and Street) ZG — I V-.12e-�3 --0 0 i c 6 1 --111 ; City,State ZIP Cade Number License/ID/Other Number