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Homestead_McKinneyC (Q L C INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 477188 Page 2 D.PREPARER Kimbelfy A. Lewis Office Manager Preparer of the Sales Disclosure form Tide 226 W. Broadway Broadway Title, Inc. Address (Number and Street) E. SELLERS GRANTORS Kathy Wells Timothy W. Dyer Sege-] - Name as appmrs art conyryunm dosvment SegerZ - Name os oppevrs on.veyunce dvrum mI 2079 S 1200 E 2079 S 1200 E Address (Number and Steger) Address (Number and Streer) Oakland City, IN 47660- Oakland City, IN 47660 - 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 -51.5, "Real Property Sales Disclosure Act ". Signature af5<ller 'y amreafSeller � NTEE S - PLICATIONFOR PROPERTY TAX DEDUCTIONS - :IDENTIFY ALL ITEMSTHATAPPLY Z5O-�It n qv med numt Buyer2- Name asappeorson cnnvt�vnce document treet) Address (,YUmber and Street) Oakland City, IN 47660 - Telephone Number E -mail Telephone Number E moll THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION - x❑ ❑ 1. Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary eating /Cooling System residence, including county: ❑ S. Wind Power Device 2079 S 1200E ❑ ❑ 6. Hydroelectric Power Device Address(NumberandSveer) Oakland City, IN 47660 NOT APPLICABLE ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? City State ZIP Cade County X❑ ❑ 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. 786 S 950 E Not available in all counties.) / �CO_/ Addrw(Numberand Stmt) Oakland City, IN 47660 GIBSON Chy State ZIPCode County - Primarypmpertyownerconmctvame E -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 g filed.) amre ofB,Y -1 Srgnamre afBlyer1 /Spouse r� CA C me�(% el n P14 zz 0/I Number License /ID /Other Number