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Homestead_KruseC L. INDIANA SALES DISCLOSURE FORM SUE ID SDO ID 713180 Page 2 D.PREPARER Samantha Cutsinqer Preparerefthe kles Disclosure Form Tide 226 W. Broadway Broadway Title, Inc. Addren(Numberand SVeeQ Cm-,, State, and ZIP Code Telephone Number E -marl E. SELLER(S)/GRANTOR(S) Carol Ann Rice by Kenneth Paul Christy, POA Barbara Sue Dugdale by Kenneth Paul Chesty. POA Seller1 Nome vs appear, an cvnvnvnce Document Selln'2- Nu ... s.,pear,vncaivgy acedvevment P.O. Box 2463 809 Ridge Crest Dr. Address (Number and Street) Address (Number and Street) Rockport, TX 78381- Burleson, TX 76028- Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct anad,commnp^lettextas requi red la/7w,, and is pr pareedd�/int accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". rbry, Signature vfseller S gnvm ,,fSeIter , "'TEE (S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITENYS THAT APPLY Brian J Kruse Buyrrl -A'ame rears on ronveya..aduaument Buyer2 Name asappearson canvnance dominant S750E Address (Number and Street) Address (Number and Street) Francisco, IN 47649 - Tale hone Number £moil THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ®, (❑ 1. Will this property be the buyer's primary r] 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating /Cooling System residencince, luding county: �� wwAddress(Numberand ❑ 5. Wind Power Device ❑ ❑ 6. Hydroelectric Power Device Street) Francisco, IN 47649 GIBSON ❑ ❑ 7. Geothermal Energy Heating /Cooling Device E] © $' Is this properly a residential rental property? Ciry, State ZIP Code County ❑ ❑ 2. Does the buyer have homestead in Indiana to be a 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.) �(/1 aL ��— �� Address (Number and Sveei) City, Smte ZfPCvde atmry Nimary Property nemer cvnmct r ume t' -mail 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 ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is bei filed) Si ^nature o /Buyerl Signature of Buyer2 1SE.. bran 1 <1'�se y-13 -201/ Number License /1D/Orherflumber