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Homestead_Ewin<1 4 INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 728061 Y3ve 2 D.PREPARER Samantha Cutsinger Preparer of the Sales Disclosure Form Title 226 W. Broadway Broadway Title. Inc. Address (Number and Street) Cumpony Princeton, IN 47670- E-mail E. SELLER(S)/GRANTOR(S) Chris E Kohlmeier Kimberly J Kohlmeier Seller I - Name as nppeurs ar,un,evunae daevment 5e1er2 - Name ns uppean on mnvewme document 201 S. West St. 201 S. West St. Address (Number and Street) Address (Number and Street) Oakland City, IN 47660- Oakland City, IN 47660 - f -rnuil Tele hune Number Email Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and Komplete ass requi d law, and its prepared in accordance with IC ¢- 1.1 -5.5, "Real Property Sales Disclosure Act ". Signature Si ature o(Srlle� l -�l✓- n .GRANT YERS ES - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Michelle EvAn Bayer) N.au,: P, inconveynicedusurner: Buyer 2- Name as appears on convnvnce document ve. Address (Number and Street) Address (Number and Street) Oakland City, IN 47660 - E -mail Tele hone Number E -mail 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 xJ ❑ 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating /Cooling System residence, including county: ❑ ❑ S. Wind Power Device 201 S. (NEST ST. ❑ ❑ 6. Hydroelectric Power Device Address (Number and Saver) Oakland City, IN 47660 GIBSON ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? City, State ZIP Code County X1 ❑ 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. 711 HIGHLANDAVE. Not available in all counties.) Address (Number and Street) Oakland City, IN 47660 GIBSON M^ a _ f3 3 aSID.C/ , GW �� D Q27 City, Some ZIP Code County Pn'mary property owner mrtma name E mod 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 filed.) nn Sig amreo(Buyerl Slgnamre ofBUyer2 1Spouse �W:N I�{I�V�ell� I-a0 -I-), Panted Social Security Number Last 5 digits of Buyer 2 /Spouse Driver's Stare Last 5 Digits ofsocial Security License /ID 10ther Number Number License /ID /Other Number