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. INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Darlene Robinson err oxmey
Preparer of the Sales Disclosure Farm Title
P.O. Box 4, 251 N. Main
Address (Number and Street)
E-mail
E. SELLER(S)JGRANTOR(S
Jane Friedman
Seller I - Name a,, appears on conveyance document
Seller 2 - Name as appears an conveyance document
1320 Clay Street, Apt #3
Address (Number and Street)
Address (Number and Street)
Cincinnati, OH 45202
E-mail
Telephone Number 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".
Signature of Seller Signature ofselle,
JAWC F91044AN 10/27/ZooR
Seller Name ofSeller Sian Dow (M.WIDDIYYYY) PrincedN .... fSeller Situ, Date (MMIDDIYYYY)
Printed 'ed N am e o(
-GRANTEE(SITAPPL-�ELIZsE�EDIJCT.,IONSAND-CREDITS
r-hau7 Fr-iedman�
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Bayer I -ffiama as trppea,ron db-
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Buyer 2 - Name as appears an conveyance document
. Ison
r _
Address (Number and Street)
a (Nu-
Address (Number and Street)
Oakland
Oakland City, IN 47660
0
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Number E -mail
Telaohou� Number
Telephone Number Email
THE SALES D15CLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO C , 7:----N0.1DMO1 �
[N ❑ 1. Will this property be the buyer's primary
3. Homeste
residence? Provide complete address of prim
4. Solar Energy Heating/Cooling System
residence, including county:
❑ 5. Wind Power Device
519 N Madignn St, Oakland City, IN 47660
❑ ZI 6. Hydroelectric Power Device
Address(Nuenberand5creet)
Oakland City, IN 47660 Gibson
❑ 7. Geothermal Energy Heating/Cooling Device
8. !s this property a residential rental property?
City. State ZIP Code county
❑ LX 2. Does the buyer have a homestead to be vacated for
this residence? if yes, provide complete address of
residence vacating, including county:
Address (Number cod Street)
City. State ZIP Cade Cou.tv
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and com lete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
� z —
tlf,qy6ture of Buyer} 9goature of Buyer?
X044, D 4a a /V Sian Date (MMIDDAYM
Printed Name of Bvve, I Sic. Date PfimfedN..cf8aver2