HomeMy WebLinkAboutHomestead_Martin (4) • ' . !
INDIANA SALES DISCLOSURE FORM
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71 0 1.Will this property be the buyer's primary IZ] El 3.HomesteaC—I ----
6- residence? Provide complete address of primary E p 4.Solar Energy Heating/Cooling System
• residence,including county: „-;- ,-- IZI 5.Wind Power Device
;-3C,3 PO co i,,,i 0-13/A--- i —4, ,./1=1
Address(Number and Street) 7>/ El [ 16.Hydroelectric Power Device
OZCZXMiNE4F665'-qr/4 Y1,Clo 76-1 Si-I '11 11 1 0 0 WI 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
p 171 B.Is this property a residential rental property?
0 IZI 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 [ ] 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)
A6 .a..1 S4" Apet •••40 ite)# 1 491C-.004. 7
City,State ZIP Code County
Primary property owner contact name E-mail
j Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
Sig Lure ofBuyerl Signature of /er2/Spouse
KY F P MARTIN 12/11/2020 EMILY A SISK 12/11/2020
Printed Legal Name of Buyer 1 Sign Date(MM/DD/YYYY) Printed Legal Name of Buyer 2/Spouse Sign Date(MM/DD/YYYY)
37056 IN 78677 45348 IN 90983
Last S digits of Buyer 1 Driver's State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security
License/ID/Other Number Number License/ID/Other Number