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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�
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IN 4f FYI b�— +riJ`7 e. I;
ItQV/et V.t
Number License /ID /Other Number