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Homestead_Hopple
• e. INDIANA sk!..ts Disc OSURE FOR-s '-. SDI"ID_ - 0 Page 1396315 Pae 2 &D.`PREPARER s,r C' *,T..'._.ey:L3 F w -;:. 5Y"-";..'gF . ss'i+e a+ '.es'. i-_ . ..':s. {PJ-Eyt>i. t . ' -,- w :: Carla Waltman Escrow Closer Prepay-of Me SCln Pivdocrre crcn rye 331 Franklin St litre Center of Indiana,LLC Address(Nina-J.er and Street) Company Columbus.IN 47201- 812-372-1170 r.waltrta City,State,and VP Code rl@811eCEr11er01111dra1-manna Telephone Nbmbu E.mcn E SEEIER(S)/GRANTORfS7 `'16' £4'ez$ , ra'..46 fill 'nici_."> it r~`_;?e':a! it :ts" . REBECCA J(NOVAK)BERRY Seller 2-Name as appears on cawance daament Seiler 2-Name s non oppe mnrebvn=x dormant 708 HAUB STREET Addrna(Number cad Sae ) Address(Number and Street) HAUBSTADT,IN 47639- 4 11 . .-.allies of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct andn lete as requir-. in I.w,andl p�•ed in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". t /A t'(� r • . �� PKe ht w 1 / OVAk /7- 2) /2- Sgxaue f5 Th-nr V,..en(Lnar e - H,.w v.—."rat t ': 'i• tAPPLInON FOR PROPERTY-TAX DEDUCTIONS-IDENTIFY AISITEMS TEMSTHAT:APPLY ' ?di* 'F-.41 CHRIST HOPPLE TERESA L HOPPLE ._ .. r.,sysamlaarmme Bwgc2-Rome as wean an manyvnce document 708 HAUB ST 708 HAUB ST Address(Number cad Sweet) Address(Numberardsaea) doHAUBSTADT,IN 47639- HAUBSTADT,IN 47639- THE SALES DISn°CURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION r ' NO CONDITION )3 ❑ 1.Will this property be the buyer's primary © ❑ 3.Horn., - . residence? Provide complete address of primary • 3I 4-Solar Energy Heating/Cooling System residence,including county: ❑ 708 HAUB ST 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device HAUBSTADT,IN 47639 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device ry re VP Code County 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information /in'cclludiR�f�counnnnty:� yl below.Please see instructions for more information. .3?bSI,C/1 ilkFle I1"a- Jot availanlllraunelnc 4f(Number°U'We, 1-N U».)v 026 -/9-3i - Litt -000. 75o -co p City,State ZIP Code Cavaq -nail • •