Homestead_WireL-1M
C,
•INDIANA SALES DISCLOSURE FORM SDF ID: Desna
D.PREPARER.
CHRISTINA M LENFERS CLOSING AGENT
Preparero(rhe Sales Disclosure form Tide
501 MAIN ST STE 101 BOSSE TITLE CO
Add. ffoe berona Street)
E -mail
E. SELLER GRANTORS
x
VANDFRAILT MORTGAGE ANO FINANCE INC
Seller I - N'eme m appearson rom,.vncr dee.me,,t
,a) 41 Alma Tca ;1
Seller 2 -Nome as appears on toovryance document
Address (,Number and Street)
Address (Number and Street)
ftlfyy%lI, , I N 3` dc`l
E mail
Tel<hone Number E -mail
Under penalties of perjury, l 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 ".
4gnature a %Seller Slgnamre o /seller
//�1
7 -/.
vented Name a /Srlln Sian Dote faa /DaM» Pnntrd Name. /Seller sign Date fxa /DVM1"
F. BUYER 5 GRANTEE 5 - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY -
ASHLEYL.WIRE
SoSh'amrasappealt�onveyypedvmers(
1
Buyer2 Name asappaersoncanvevonudocument
tAd�dres(, (NCmberend�ItJ� � ����1(J-f�,.
Address(f.'vmberand5tren)
TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
ITS NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary
❑ 3. Homestead
residence? Provide complete address of primary
❑ 4. Solar Energy Heating /Cooling System
esidence, iocluding county:
�'q g�
❑ [� S. Wind Power Device
❑ [y 6. Hydroelectric Power Device
A (Rvmber s e) \ LL�� t� f; _ A_
CJ�•
�1v T
❑ 7. Geothermal Energy Heating /Cooling Device
CirytState Zf ase County
❑ 8. Is this
❑ 2. Does the buyer have a homestead in Indiana to be
property a residential rental property?
vacated for this residence? If yes, provide
❑ 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.)
all
Address (Number and Street)
Cuy,Stare ZIPCadr Count,
Pruamy eroaa,OF wanrr to ^taro name Small
Under penalties of perjuy, 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 Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
b fie )
. rt "Bus , 2 � 04 a- Sma acre ofBvye,215pouse
► a-o Cl�
Number License /l0/Other Number