Homestead_Hayden (4)INDIANA SALES DISCLOSURE FORM SDF ID: Pa 'e 2-
D.PREPARER
Karen Harbison VP
�Pmyorero(NeSalesDisrlamreFOrm Title
803 E State Rd Hwv 68 The Elberfeld State Bank
Address(A'umberand5tree[J Company
HaubstadtlN 47639
E�moil
E. SELLER S GRANTOR S
� iranr Ryan
Seller ]� A'ame as aypears an ronvrym�e davmen[ Selfer 2� Name as apPears on mm�e�nnre dxumen[
495 S StormoM
Address (h'umber and Sveetf Address (Number mdStreeQ
PrinrPton IN 47670
Email Tele honeA'umber E-moil
Under penalties of perjury, 1 hereby certify tha[ this Sales Disclosure, [o the bes[ of my knowledge and belief, is true, correct
and com��ete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
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YER S GRANTEE S- PLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
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Buyer l- Name as appears on ronve� , re Cocumml Bvyer7 - Nvme as appears on ronveyance documen�
2710 Ashton Ct
,. rmd5veetJ Address(NUmberandSVeeQ .
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Tele honeh'umber Emoil Te@ honeNumber E-mail
THESALESDISCLOSUREFORD1M1fAY8EU5EDTOAPPLYFORCERTAI\DEDURIOYSFORTNISPROP LLOFTMOSETFLITAPPLY.
1'ES \0 COKOITIOY I YES NO COYDITIOA
�✓ ❑ 1. Will this property be the buyer's primary � Q 3. Homestead
residence? Provide complete address of primar _� 4. S ergy Heating/Cooling System
residence, including county:
a75 R Stortnont St ❑ ✓❑ S. Wind Power Device .
Addrus(A'umberand5vxt) ❑ Q✓ 6. Hydroelec[ric Po�ver Device
Pnncelon IN 47670 _ � Q 7. Geothermal Energy Heating/Cooling Device
Ciry. Sm�e ZIPCode Counry
� Q✓ 2. Does the buyer have a homestead in Indiana to be � ❑� $� �s this properry a residential rental property?
vacated for ihis residence? If yes, provide ❑ �❑ 9. 4Vould you like m receive tax statements for this
complete address of residence being vacated, � propercy via e-mail? (Provide con�act informotion
including county: below. Please see instructions for more injormation.
Not availa6le in !( counties.) � //
Addrest(Num6erand5treel) O�/. Lf�/ O��
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Ciry, Sta[e ZIPCOde Comry
Pnmary properry ouaer mnmtt name E-moil
Under penalties of perjury, t hereby cer[ify that [his Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Att". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduc[ion is
being filed.)
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Lirense/ID/OlherNum6er Num6er Lirense/ID/O[herNum6er
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