Homestead_Martin (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the Sales Disclosure Form Title
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Seller 1-Plume as appears on1conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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E-mail Telephone Number E-mail
Under penalties of pe 'ury,Ihby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co lete as u' ed `law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signs e [Seller Signature ofSeller
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Printed Name ofSeller Sign Date(MM/DD//YYYY) Printed Name pfSeller Sign Date(MM/DD/rrrY)
F:-. BUYER(S)f GRANTEE(S),-APPL
ICATION ON .OR PROPERTY TAX DEDU S-IDENTIFY ALL I EMS T A APPLY .
Buyer 1-Name as appears on cconyeya document yer 2-Name as appears on c eya &e document
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AAddd (Number and Street) Add (Numbe nd 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 YES NO CONDITION
El1.Will this property be the buyer's primary [ ❑ 3.Homestead
residence? Provide complete address of primary ��J y�stem R
❑ 4.Solar Energy/eoorng System
�,� residence,including county: r,/
❑ Iw 5.Wind Power Device
Address(Number and Street) ❑ if g i 6.Hydroelectric Power Device
City tateZl/Code County ❑ 7.Geothermal Energy Heating/Cooling Device
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/! 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 09•Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: n 'I below.Please see instructions for more information.
1 �G N Sol? K of available n all counti .)
Address(Number and Street) ?"I 1� •
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City,State ZIP Code 2
County