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Homestead_Kohlmeier
N INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 728053 Page t D. PREPARER Samalttha Cutsinger PR'eporer of the Scles Duclasur a Form Tide 226 W. Broadway Broadway Title. Inc. Andres. (Number and Suee) Company Princeton, IN 47670- _ Cay Srate, and ZIP Code Telephone Number E-mail E. SELLERS GRANTOR S Michelle Evvin Srller I - Nome ps nppeun an runvnnae durumem Seller 1 Nmne as appran pn mnvawnee da'ummt 711 Highland Ave. Address (Number odd Surer) Address (Number andSuvet) Oakland City, IN 47660 - City, State. and ZIP Code Cay Stare, and ZIP Cade E-.ilA 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 ". (�r `� LA Z S Y A Signature of Seger Signature at Sell" Ih;el�rlle /�. Et.J,n la -3D t) YERS GRAN S - APPLICATION FORPROPERTY TAX DEDUCT ALL ITEMS THAT APPLY Kimberly J Kohlmeier Chris E Kohlmeier SayerI Namen nrs na conveyance daamen: a 2 Namea rsanctm,eyrmcedocumenf . West St. 201 S. est St. Address (Number and Street) Address (Number and Street) Oakland City, IN 47660- Oakland City. IN 47660- City. State, and ZIP Code Tele bone Number £m oil THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO x❑ ❑ 1. Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary residence, including county: 771 HIGHLAND AVE. 4. Solar Energy Beating /Cooling System ❑ 5. Wind Power Device ❑ © 6. Hydroelectric Power Device Addrest(Numberand Steno) Oakland City, IN 47660 GIBSON ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © B. Is this property a residential rental property? ❑ © 9. Would you like to receive tax statements for this property via e-mail? (Provide contact information below. Please see instructions or more information. available in all counties.) City, Stare ZIP Code County ® (] 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide complete address of residence being vacated, bl in�c�llq�dingcounty_ W EST .S I �Not d, ress /N'v ber dSVre:) Cary, sustlee ZIP Cafe ( County Primary property o,vnrr ranmrt name 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 information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being filed.) '1um�tc,ac hQU"itell (t}Y,tt/I �, l� -) I� ?�� 11 � r use ignotvre ofBuyerl Si not re o%Bvyer2 /Spo E ` — �m IIt,IVIA(fi\Mpitc, ! t 5 . J rf �. vet ✓� minted Legal Na of Su) erI IF Last SdigiuofBuy'er 7 Driver's State Last 5 Digits of Social Security Number Last5digiaS fBuyer2 /Spouse Driver's State Last 5 Digits ofSonalSecuriry I iranr? /In rPrhar .vumBCr NnmNer liranrr /IP, /nthrr,`Jamhar r