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Homestead_Miller (7)
, 1NDIANA SALES DISCLOSURE FORM SDF ID: AD-IC?0-0 10 0900006 / Page 2 1 .;'t fiFA RJRilim t ..t.s xt't. [p;5 »a:rn[a[ ili •G iii%.srI - ,,{i ai - i i•l! -: I . i . t Daniel L.Siewers Attorney Preparer of the Saks Disclosure Porm Tide 513 Main Street,P.O.Box 979 Hart Bell,LLC Address(Number and Street) E-r ati I �, . S r'y-.'t� �,+y. N p' S s..! t,, .[q,. ..i .....a•z:- -I n>�F;F , NxI .7[r[ 14'1 :'u•:'r.,;:C ::.iei`::v.,,,,,:.:.:,rt+iu iri•i... .,r' I.:s [ .+afi, :it ifS L'L' R.,S .OiE,C NTOR-$. a g:iiiiii 7.'.:Suet al ll ts{iiii!:ll;•iti'•�s4vMI err_I:,a,+.L;p.,,.«r . i,f.L�, Ef xlr^.:4*-.., rc...e;.l,;;{.rt::•nu:s' d'.' ai: s�`- e ! -., '�:.,,...., d tw:�.,R.r, ., . .. .. ,p�,;,...�;.•...n,c....,._..,..... .•ra.>.-..4.,+,�.v;�.,tl(IIE,.4^...q. S,•.:kiw. ,�:r...., ..s�ur�.•;�:::..:.q.0 t1F { 4 ..E.!:,rl.?n;*I'... t, t11;; Steven Thomas Miller Linda K.Miller Seller I-Name as appears on conveyance document Seller 2-Name ax appears nn conveyance document • 8160E 360 S 8160E 360 S Address(Number and Street) Address(Number and Street) Oakland City,IN,47660 Oakland City,IN 47660 City.Slate.tied ZIP Code 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 c lete a r ed by law,i and is repared in accordance with IC 6-1-to"Real P er Sales Disclosure Act". Signature ofSelle Signature of5eller Jew Steven Thomas Miller 07/30/2010 Linda K.Miller 7/30/2010 Printed Name of Seller Sign Date(MM/DD'YYYY) Primed Name of Seller Sign Date(AMMIDD/YYYY) !i-mail 1 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THE PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ® ❑ 1.Will this property be the buyer's primary ® ❑ 3.Homestead residence?Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 5,Wind Power Device 8160E360S El Address(Number and Street) ti ® 6.Hydroelectric Power Device Oakland City,IN 47660 Gibson ❑ ® 7.Geothermal Energy Heating/Cooling Device City,State ZIP Cade County El ® 2.Does the buyer have a homestead in Indiana to be ❑ ® 8.Is this property a residential rental property? vacated for this residence? If yes,provide Li ® 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.) Address(Number and Street) City,State ZIP Code County Primary property owner contact name •E-mail . . - . . . . •