HomeMy WebLinkAboutHomestead_Dike:DIANA SALES DISCLOSURE FORM SDF ID:
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inder penalties of perjury, 1 hereby certifythat [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
nd comple/t/e as required by law, and is prepared in accordance with IC 6•1.1•S.S, "Real Property Sales Disclosure Act".
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fHE SALES DISCLOSURE FORh1 MA1' BE USED TO APPL1' FOR CERTAI� DEDURIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE iHAT APPLY.
1'ES
P ❑ 1. VJill this property be the buyer's primary
residence? Provide complete address of primary
residence including county:
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Address (h'umber and Stree[)
G�- am�ch .zti �l764s
Ciry. SWce ZIP Code County
�� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number ond 5[reet)
Ciqt Sm:e ZIP Code Counry
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3. Homesiead
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residential rental property?
9. lNould you like to receive tax statemencz for this
properry via e-mail? (Provide conmct information
below. Please see instructions for more information.
Not available in all counties.)
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 comple[e as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
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um6er
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Sign Da:e (aM/D�/1'1'Y1]
Las[Sdigitsa(Buyer?/SpouseDnver's Sm[e LastSDigitso�5ociolSecuriry
Num6er License/lD/OCher Number