Homestead_Armstrong (9) 1
`A SALES DISCLOSURE FORM SDF ID: Page 2
��_ PARER
Preparer of the Sales Disclosure Form / Title
9'1 L57 („%al�ei l i7;k< Art w . -.
Address(Number and Street) -J
E-mail
E SEs R(S). NR(S)
e ler 1- ame as appears�^on cony ance document Seller 2-Name as appears on conveyance document
ic� r ,
Add ss(Number and Street) Address(Number and Street)
i ,State,a ZIP Code 7o, City,State,and ZIP Code
—� y
Telephone Number E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and tom e as req ui law,ang is,prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
l,�C •
Signal re of Seller Signature of Seller
L) 4. L ���� i i 1 (S
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F BUYER(S)/GRANTEE(5 -_APPLICATION FOR PROPERTY TAX'D.EDUCtIONS I'DENTIFY ALLITEMS,THAT APPLY;M_
/')?lafk A 2--r z47 r ,57 is n 7
Buyer 1-Name as ap ears.on con eyarice document Buyer 2-Ndme as appears on conveyance document
Address`� (Number and Street) Address(Number and Street) ILE si.
1'"r 1 n 4 e I'on. .f - 47670
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT
YES • NO CONDITION YES NO CONDITION �f(/
❑ 1.Will this property be the buyer's primary ❑ HomesteadQi N BOUNTY AUpt t OR
residence? Provide complete address of primary
❑ Solar Energy Heating/Cooling System
resl�d�ense,including county:306 ❑ Wind Power Device
b Address(Numerand Street.) • ❑. 6.Hydroelectric Power Device
Q1 be .9SrLO6° . -�.
t) ❑ "Geothermal Energy Heating/Cooling Device
l City,State ZIP de
• ❑ �8.Is this property a residential rental property?
2
❑ .Does the buyer have a ho ge.a a��ut. natobe
• vacated for this residen ' I Nes,%ov':e ❑ 9.Would you like to receive tax statements for this
c complete address of 'd ce'kin:vacated, property via e-mail?(Provide contact information
^ ' including coun t; below.Please see instructions for more information.
` ... Not available in all counties.)
Address(Number and Street) 4
26 11'-1'Z=71G--003 6 t 2-02-2
City,State ZIP Code County
Primary property owner contact name E-mail