HomeMy WebLinkAboutHomestead_Matsel (3)SALES DISCLOSURE FORM
[iry.
/D!'�(��.- 15'D �l
�fddrm(Num6erandStrm[J �
��
Number
Shcrj l� Name os oppmrs m mnveyunce docummr
(q�� w r � ��.
Add us(Nu berond5�
�:���,.5-�.� �'767n
Under penalties of perjury, 1 hereby cerdfy tha[ this Sales Distlosure, to the best of my knowledge and belief, is true, torrec[
and��lete as r�quir�d by la��yand is prepared in accordance wi[h IC 6-1.1-SiS� °Real Property Sales Disclosure Att".
8uyn 2� Ncme as appmrs on ronveycnce dxummt
� � � _ / n Addres(NumberandSVeet)
T�J
THE SALFS DISCLOSURE FOM7 MAY BE USED TO APPLY FOR CERTAI4 OEDUCI'IONS FOR THIS PROPEftTY. IUENTItV ALL OF THOSE THAT APPLY.
1'FS YO couomou
�j ❑ 1. Will this property be the buyer's primary
residence? Provide mmplete address of prima �
,S bi1 • f��eot � C�l� v�l� u#�Oti,/ nty�
as(h' m6erandSVaJ
�"d �.,�.,,�, �,J ����c� (�y��51 Dn
Ciry,Sm Cad< Counry
❑� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? [f yes, provide
complete address oFresidence being vacated,
Counry
❑ 3. Homestead
■ :�
■ .
� �
� �
��
■ C��
System
S. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heatlng/Cooling Device
8. [s this property a residentlal rental proper[y?
9. Would you like to receive tax statemen[s for this
property via e-mail? (Provide contoct informodon
below. Please see instructlons for more informatlon.
Not ovailable in a(I coundes.)
\1/1 OVI%n-1 SPi� /V �
name
E-mail