Homestead_Helmling (2) INDIANA SALES DISCLOSURE FORM SDF ID: Y
I D:PREPARER. Page 2
Preparer of the Sales Disclosure Form Title
1 lf rkft,`i. tie/h/:,2 J sf
Address(Number and Street)
c4/&t f 1 7`� 7 7/ E mml
:.E:SELLERjS)/GRANTOR(S) -
Seller
rl�Name as appears onconyvveyarcedo%4/ ,
` , Seller 2-Name as appears on conveyance document
.1:: J/C/?C/ !2
•
Address(Number and Street) Address(Number and Street)
City,State,and ZIP Code
E-mail
Under penalties of perjury,I hereby certify that this Sale Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by 1 w, d i prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
• Sig r ofSeller, ignatureofSeller
Printed Name o/ ler Sign Date(MM/DD/YYYYL� ed Name o Seller _
F' BUYEI2(S)/GRANTEES)_APPLICATION;FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL (MM/
DD
...Slow Date
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
Ozc P-°- ev). , AUG 20 2020
Address(Number and Street) _ Address(Number and Street)
E-mail Telephone Number.
E-mail
THE SALES DISCLOSURE FORM MAY USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY LL T QSE THAT APPLY.
YES NO CONDITION A� �� v ���'
�S O,. CONDITION .,41 I
❑ 1.Will this property be the buyer's primary 3.Homestead
residence? Provide complete address of primary
❑
residence,including county: ❑ 4.Solar Energy Heating/Cooling System
�'8UTi • w, l v.)e-4zr r 4,0
El ❑ 5.Wind Power Device
,Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device
7' {Ee,6a ,;psi_ 4'7/(,.c- ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ] 2.-Does the buyer have a homestead in Indiana to be ❑ ❑ p.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.
Not available in all counties.)
Address(Number and Street)
City,State ZIP Code s 4' County , ^0