Homestead_Price (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Prepar ftheSales sclosure-orm Title
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dress(Number and Street)
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SELLER S; 1ana S -, ,%- .` ��.,:..ice .;r �.Y.- �, :,.m i sr.� . Y £ k
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Seller 1-Name as appears on conveyance do ent Seller 2-Name as appears on conveyance document
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A ress(Number and Street) Address(Number and Street)
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E-mail Telephone Numbe —,1 E-mail
U der penalties of perju ,I hereby certify that this Sales Disclosure, t` est n 1 anPA 1 f,i•
t e,correct
a omple a as requir by la hand is prepared in accordance with 6- 5 'a '. P p ' s Ie' t".
,gnalure of Seller Signature of Seller
M14-4 ( 7 NO
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F-BUYE S)%GRANT4EE(Sl LICATIONzFOR.PROPERT}Y TAXsIEDUG,TI ONS 'IDENTIFX A LL fTE1VISRTHA�T APPLY,;_. , _ __,,
Buyer 1-Name al'appears on conve ante document Buyer 2-Name as appears on conveyance document
Addr= Number andStreet) Address(Num a and Street 'r -a- •
2 2020 E-mail
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
0" ❑ 1.Will this property be the buyer's primary ["❑ 3.Homestead
residence? Provide complete address of primary ❑ �4.Solar Energy Heaat ing/Cooling System AUDITOR
, � residence,including county:
Q 7 5 rn pry �f ❑ 5.Wind Power Device
�'
r ress(Narnben nndStreet)_ 7/1 ❑ Mr" 6.Hydroelectric Power Device
'Afd6,d --bV q74 7t' (�!/ 30d ❑ rp 7.Geothermal Energy Heating/Cooling Device
,City,-State ZIP Code r-County,
❑ 2/ 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, ro 'de ❑ ❑ 9.Would you like to receive tax statements for this
com.le •: -,,,, re en in acated, property via e-mail?(Provide contact information
i.ii.i,Q: c0 n'�: below.Please see instructions for more information.
Not available in all counties.)
Ad -'s( .S I eeNr
City,S[a[eZlPCode County ��`12—01 -30 2^O O v • 6Lka-a2-23
Primary property owner contact name E-mail