Homestead_Marvell i4
INI)IANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the Sales Disclosure Form Title
`� 62VI( _50IV
Address(Number and Street) Company
Pgto l'q VI l'17G.16
City,State,and ZIP Code Telephone Number E-mail
E'S.ELLER`(S)/GRANTORCS r ZS aJ }Izz:_.c ''� "- "g"' �' ,7�' gay ,laa z _}
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Seller 1-Nam as appears on conveyance docu nt Seller 2-Name as appears on conveyance document
10.2-AZ E. 1-1/in p if S.-1--
Address(Number and Street) Address(Number and Street)
0 u Igefri} L 4y -1-IV e-(7(6 0
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
an4,complete required blaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
....._,,
Signature of Seller Signature of Seller
Pri •d e of Seller Sign Date(MM/DD/YYYY) Printed Name o Seller tal DD
�F.. e /GRANTEEIS) `APPLI;CATION F,OR-PROPERT;YtTAXXDED i 1,i e ` e _;s•:' 1 .t °•� , ••�; ram;f s
AGI ro t) i41 rtei I 1L. . 4! .. .
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Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d.`i• men +
3G6zW i.57 '- nn1 tipti0
Address(Number and Street) Address(Number and Street) �V 1® ,....-
Pa'fo lcu ,t"v y 7at
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Telephone Number E-mail Telephone Number J
0p1 E-mail
TH =LES DISCLOSURE FORM MAY BE USED TO APPLY FO' - •TAIN DEDUCT • •S FOR THIS PROPERTY. IDENTIFY ALL OF •OSE THAT A'-ti' ",.
YES NO e‘ IITION _ YE NO CONDITION
rl ❑ 1.Will this property be the buyer's pri .ry ❑ 3.Homestead
residence? Provide complete addre•.s of primary ❑ 4.Solar Energy Heating/Coe ing System
residence,including county:
2 0$ N 'SAP/f S°# ❑ NI 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Pu-M l h -J� ' 76Z 6 ❑ [I' 7.Geothermal Energy Heating/Cooling De,'ce
City,State PCode County
❑ 2.Does the buyer have a homestead i 0Indiana to be ❑ 8.Is this property a residential rental property
vacated for this residence? If yes,p ovide ❑ g 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: below.Please see instructions for more information.\1
Not available in all counties.)
Address(Number and Street)
(0-01-1-u —3C -• COO H‘421.A2- C aC J
City,State ZIP Code County /
Primary property owner contact name E-mail
Number License/ID/Other Number