Homestead_Almon (6)INDU�,� SdLES DISCLOSURF, FOR\I SDF ID SDO ID 7387807 Pag<2
D.PREPARER � �
Jay D. Walden Attorney at Law
Prepnrero(the Salrs Dlxlomrc Fortn Titlt
202 E. Norih Street Law Oifice of Jay D. VJalden
Addrese /A'umbcr ono Smt) Compony
Grayville. IL 62844-
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E.SELLER S GRr1NTOR S �
Joshua A. Kohlmeyer
SeRer ]� Nomr m appmrs on mmnanre dxumen[ Stller? - Rame as oppears on ronve�vnce dorument
9405 W 450 S
dddr'ess(NUmberandSVer[J Address(h'umberonCSVee:)
Owensville, IN 47655
CiN, Smt4 �+nd'GPCode liry, Srnte. and'CIY fide
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Under I[ies of perjur 1 hereby certi(y that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
an om ete � re ir ,� law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disdosure Act".
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F.BUY RANTEES -APPLICATIONFOR�PROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Ryan James Almon
. . ., a ppearsorrronvewnredocvmen[ Buvm2�Nnmeasapp¢orsonronveyunredoavmen[
8903 W SR 765
Address (Nvmberond S�rte[J Add�ess /A'umber ond Stree[J
Uvensville, IN 47655
[iry. Smte, and ZIP [odr Ciry, Smte, nnAGlvCodr
E-mail TeI honeNUmber f-moil
THE SALFS DISCLOSIIRE FORM MA5' BE USED TO APPL1' FOR [ENTAI.Y OEDIICfI0Y5 FOR TNIS PROPERTY. IDE\TIFY' ALL OF TNOSE TN.1T APPLV.
YES 10 CONDITION Y
X� � 1. SVill this property be the buyer's primary X 3. Homestead
residence? Provide complete address of primary � � 4, Solar Energy Heating/Cooling System
residence, induding countv:
9405 W a50 S ❑ Q 5. lNind Power Deaire
aee.�ss�s�.��n`�o�aso-req � Q 6. Hydroelet[ric Power Device
Owensville, IN a7655 GIBSON � � 7, Geothermal Energ}' Heating/Cooling De��re
CiN, Smte ZIPCadr Counry
Q �?. Does the buyer have a homesread in Indiana to be � � 8. Is this property a residential rental property?
vacateA for this residence? If yes, provide ❑ � 9� �'Vould you like [o receive [ax statements for this
complete address of residence being vacated, property via e-mail? (Provide con[act information
induding county: below. Please see insvucnons for more in(ormatian.
8903 W SR 165 ot avarla6le in olf counties.
dddras(Nnm6rrnnd5osr[)
Owensville, IN 47655 cisso 02 (o - j 7- 0 3- � 0 0- O e� �j .$a' 9- o�/
Cint Sm�aZIP Code [ou �•
wner con•sa name Ertro�
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