Homestead_Greene INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
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Preps r of the ales Disclosure orm Title
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Address Number antStreeti Company
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E.SELLE S)/GRANTOR(S)
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Sellers ame as appea on conveyan document Seller 2-Nam asap rsoncon ncedocum nt
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Address(Nkimorr and Street) Address(Number ang Street)
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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 mplete as required by law,and is pr red in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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S atare^ofSeller Signature of Seller
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Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name pf Seller Sign Date(MM/DD/YYYY)
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BUYER /GRANTEE )-_APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
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Buyer 1-Name�as appears on conveyance document Buyer 2-Name as appears on
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ddress Numberand Street) Address(Number and Street)
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PROPERTY. IDENTIFY AL OSE THAT kPF,Y.
YES NO CONDITION NO CONDITION�OQ
1.Will this property be the buyer's primary YESL 3. Homestead�'pGA.Q
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, residence? Provide complete address of primary Er 4.Solar Energy
residence,including county: ❑ Fttsiooling Sys
`� ❑ i j" 5.Wind Power Devi-
ess(r•, ,br'I"d St reel ❑ El-- 6.Hydroelectric Pow r
�r " ' e
+�— ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ [� 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes,provide d ❑ 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)
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City,State ZIP Code County r ( I 7
Primary property owner contact name E-mail !'s
License/ID/Other Number