Homestead_SheetsINDIANA SALES DISCLOSURE FORM SDF ID:' Page 2
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E. SELLERS )/GRANTOR S
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Se £rr 1 - Name as appears on moveyance document
Seller2 - Name as appears on convryance document
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Address (Numberond Street)
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
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Signature of Seller Si a tore of Seller
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Pd Namea Seger Sia le MOD Printed Name o Seller Sian Data MM /DD
E R S GRANTEE S - PPLICATION FOR PRO RTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
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Name as appears an conveyance dxvmen[
Buyer2 - Name as appears on conveyance document
Address ,
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Address (Number and5vee[)
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City, Store, and ZIP Code
Email
Tole hone Number E -mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCT] ONS FOR THIS P THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's prima
E ❑ 3. Homestead
residence? Provide complete address o rim
❑ 4. Solar Ener Doling System
resnidence, includ�[g counri:
`, �S (J unaS.t`
ind Power Device
❑ �6. Hydroelectric Power Device
Address (+umber an o- )/ /�
/
9 / h P r r, 7A 7-A/ Y76 �� &, A S d 4
❑ P' 7. Geothermal Energy Heating /Cooling Device
❑ ,�/ . Is this property a residential rental property?
City, Stale ZIP lade r County
❑ e- 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ LJ 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.)
o?( -oho - 00/
Address (Number and Street)
City, State ZIPCode County
Primary property ownermnmct name 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 complete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Secur_i_ty and Driver's License /Other numbers are not necessary if no Homestead Deduction is
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S reofBayerl Signature ofHayer2 /Spouse
MITE 15H66 T5 I -N -((
License /ID 10ther Number Number License /ID /Other Number