Homestead_Shadwick III •
INDIANA SALES DISCLOSURE FORM SDF ID: P.•e 2
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PrenareroftheSalesDisclosureForm Title
Address(Number and Street)
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Seller 1-Name as appears on conveyance document - Seller 2-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street)
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that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an: com ete . . • •it• . r law : I dis prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller ilAatncv _vrcx Signature of Seller
Printed Name, S'•n Date Nor•DAtit/ Printed Name o Seller S.n Date NM Dam) '
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Buyer 2-Na easappearsanconveyancedocument
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Address(Number and Street) Address(Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION s s 131P' _+r
❑ 1.Will this property be the buyer's primary ► ■ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary • g 4.So ar nergy eating/Cooling System
residence,including county: ❑ 5.Wind Power Device
ddress(lumber and Street ❑ a 6.Hydroelectric Power Device
r.-v r' t � 't L� ��t `n ❑ 7.Geothermal Energy Heating/Cooling Device
City,Sta'= PCode County
❑ In 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 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.
N I counties-)
Address(Number and Street)
26-18-13-401-000.006-026
City,State ZIP Code County
Primarypropertyownercontac name E-mail