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Homestead_Piper
INDU \ASALES DISCLOSURE FORM 4 C SDFID SDO ID 724232 Page 2 D.PREPARER Kimberly A. Levas Office Manager Preparerofthe Sales Du:losure Form Title 226 W. Broadvray Broadway Title, Inc. Address(,vmabermrd Street) E. SELLERS GRANTORS Louise Jenkins Seller 1- Name asoppeers an m.ai mare dmomem Sell, 2- Name as airpear, a rvnvesama darvment 4359 S. Taleia Dr. Address (Number and Streer) Address (Numberand Seeer) Oakland City, IN 47660 - Tele one Number E -mail ju , 1 here y certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct rnder`pena 7requ�;] law, nd is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". p ete.e Iby ignature Seller Signature af5elfer MqLA F. BUYERS GRANTEES - APPLICA- ION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Robert G. Piper Marti J. Piper Buyer I - Name as uppears on ranveyan,ndosamear Buyer 2 - Name asappeara on c nvevanre document 1010 N. Wlliams St. 1010 N. Williams St. Address(Xumberand Street) Address(Numbr and Street) Oakland City, IN 47660- Oakland City, IN 47660- [ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION x ❑ 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: ❑ S. Wind Power Device 4359 S. TALEIA DR. ❑ ❑ 6. Hydroelectric Power Device Address (Number and Street) Oakland City. IN 47660 GIBSON ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © B. Is this property a residential rental property? City, Smte ZIP Cade Counry ❑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. Pleasesee instructions for more information. 1010 N. WILLIAMS ST. Not available in all Counties.) �nI/ (/ n� .�/ —i 7 34—yb0 • 000 • ? 9 8" Address (Number and Street) Oakland City, IN 47660 GIBSON City, State ZIP Cade county Primaryproperryownercunmctaame 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 infor ion, Social Security and Driver's License /Other numbers not necessa - if no estead Deduction is �V`: Signamreofei-yerl Sisame eo l fByer2 /Spouse )� -D3ele i C� PI -Pe R gb1 /soil IQA-rz ?jPEK 09 2- f