HomeMy WebLinkAboutHomestead_Reneer (10) INDANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _
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Preparer of the Sales Disclosure Form Title
o NoRTG► t71i 5 eE r
A ress(NumberandStreet)
E-mail
:SELLER S. GRANTOR S
S 0E- E� R Fl= ink.T .
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
PRrlcETT A) ) ItI. 5(7-4 7O
Telephone Number E-mail
Under p nalties of perju ,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co lete as requir d by la and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signs re ofSel er Signature of Seller
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Printed Na 'Seller_ n Date(MM/DD —. 'rated Name o fSeller V) Sign Date(MM/DD/YYYY)
F.BUY S GRAN+EE S APPLICATION F0- PRO RTY' DEDUCT t NS—I Di i
( )/ O � _ iLL ITS THAT APPLY -
i EN EC-- • ' `Lv
uyer 1-Name as appears on conveyance document Buyer'-NaL,•s appearesAc, veyance d.i.ment 40\
v.
dress(Number and Street) A ' y� a Ad. ess(Number and Street) • �v,s.
Telephone Number E-mail
fHE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDU ONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPL .
S NO CONDITION NO CONDITION
1.Will this property be the b primary ► ❑ 3.Homestead
omplete address of pr." ary
residence,including county: ❑ �.� 4.Solar Energy Heating/Cooling System
o AO Rr(, 7-A STAB E I` r" ❑ p2. S.Wind Power Device
Vdres (Number and Street) ❑ 6.Hydroelectric Power Device
rf a i Ai eFT6✓V ) 2AI, if 7- iv ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 8.Is this property a residential rental property?
El2.Does the buyer have a homestead in Inds na to be
vacated for this residence? If yes,provid ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacat , property via e-mail?(Provide contact information
inc di county below.Please see instructions for more informati .
Not available in all counties.)
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Street)PCode J • County
Primarypr contact name E-mail
Number License/ID/Other Number