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Homestead_MarketC INDIANA SALES DISCLOSURE FORM SDFID SDO ID 681167 Paae 2 D.PREPARER Costa Wallace Typist Preparerof:he Sales Disclosure Farm Tide OS S. E. Martin Luther fling Jr. Blvd. Southvrestem Indiana Land Title Address(A'umberand Street) E. SELLER(S)/GRANTOR(S) - Donna J. Market Seger 1 -Nome asapxvrs on comgan a document Seller Z - Name as appears on conveyance document 110 N. Third Ave. Address (NamberaMSaeeQ Address (,':umber and Street) Oakland City, IN 47660 - iele hone Number Email Und penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct as requir by law,.a nd is pr pared inaccordance with IC 6 -1.1 -5.5, "Real Property Sales Disclosure AcP'. Land,%cmplete amre a(Seller / � , Signvmre of Seller �ar ,�( ✓zi�i I& 3 F. BUYER 5 GRANTEE 5 - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Kevin W. Market Qvy erl No asv n rom,eyanadocument Rover 2- Name as appears on conveyance document Address (Number and Street) Addres, (Numberand Street) Oakland City, IN 47660 - ielevhone,vumber E-mail THE SALES DISCLOSURE FORMMAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH IS PROP THOSE THAT APPLY. YES NO CONDITION YFS NO CONDITION ❑x ❑ 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead residence? Provide complete address of prima eatitlg /Cooling System residence, including county: ❑ © 5. Wind Power Device 7826 E 300 S ❑ © 6. Hydroelectric Power Device Adres(NumberandStreet) Oakland City, IN 47660 GIBSON ❑ © Geothermal Energy Heating /Cooling Device ❑ © B. Is this property 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.) �/P, /0'O A/ �n dif� Loy U Vr� Cl Address (Number and Street) City. State ZIP Code County rmaor(/_ Primarypmpertyowner concoct 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 Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being, aled.) ea ro I Signature ofauver2 1SPvuse —� / �r nature ofB'uwlerl t, f� -,.t. IN 4f FYI b�— +riJ`7 e. I; ItQV/et V.t Number License /ID /Other Number