Homestead_Ziliak (14) INDIANA SALES DISCLOSURE FORM SDF ID:
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.PREPARER
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E. ELLER S GRANTOR( u _t1 e�C file-11 & a ucact �yL�_l{
`5�'. tSellerl-Name as appears oncenvi mreetf rrnant Seller 2•Name as appears on conveyance document
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
d complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller e-
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F. BR S)/GRANTEE S -APl?L ,,,, PROPERTY TAX DEDUCTIaI+1S-1pLN7'JFY ALL ITEMS T‘tiHAT APPLYs�ir tt�t aD "rn
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u er 1-Name ustrppcarsoncame a end cement t!1
buyer ••Maine asapps:jo a nveyance document
Address(Number and Street) —I [.J, �� �!
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City,State,and ZIP Code —��{ ! -, `l t `rf J/� ,
THAT APPLY. Oil
YES CONDITION
ES 6 CONDITION' CI N a
❑ 1.Will this property be the buyer's primary 3.Homestead a N z
residence? Provide complete address of primary
residence,including county: o ar Energy Heating/Coolie t...� o
❑ ❑ 5.Wind Power Device w `n z
Address(Number and Street) - Q
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City,Pale StPCade ❑ ❑ 7.Geothermal Energy Heating, _____..b 6
county
❑ 1.Does the buyer have a homestead in Indiana to be ❑ El $-Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, . •'_ - • • -- •r ide contact information
including county: below.Please see Instructions a- -•. e information.
Not available in all counties.)
Address(Number and Street)
26-23-18-300-000. 549-024
City,State ZIP Code
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