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Homestead_Hartke
G INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 723317 Pgge 2 9. PREPARER Peggy A. Conner Title Assistant Preparer of the Sales Disclosure Form Title a01 N. Green River Road Suite 140 Trustworthy Land Title Co. Inc. 'Addres(Numberand Saeet) E -mail E. SELLERS ' GRANTOR 5 - " ' Lance C. Alston Seller I- Name as appears on on vegan edocument Selle r2 - Name as appears on cvnveyarme document P.O. Box 445 Addrts (Number and Street) Address (Number and Street) Haubstadt, IN 47639 - City, St.M aad ZIP Code City. State, aadZIP Code Tele oae Number E+ail Telehoo, Number E-mail Under penalties of perjury, 1 hereby ertify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and.co ete is re red la epared in accordance with IC 6.1.1 -5.5, "Real Property Sales Disclosure Ac[ ". tyre of Seger SignoNre of Seller /a //�7 ,/[(�/ / r F. BUYER(S)/GRANTEE(S) _ APPLICATION�FOR PROPERTY TAX. DEDUCTIONS= IDENTIFY ALL ITEMS THAT APPLY. Ronica D. Hartke Butz,1 - Name mappears on comeyunce daeumear Buyer 2 -.tame us appears on tom*amce document 8431 S. 1150 E. Addrew(,YumberondStreeq Address(NumberandStreer) Lynnville, IN 47619 - Oo, Smt4 and ZIP Code City, Smt<, sued ZIP Code Telephone Number E -mail rde hone Number Email 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 0 ❑ 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 314 S. RACE STREET ❑ © 6. Hydroelectric Power Device Address (Number and Street) Haubstadt, IN 47639 GIBSON ❑ © y. Geothermal Energy. Heating/Cooling Device ❑ © B, Is this property a residential rental property7 City, Some ZIP Code Cmmty ❑ FL] 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. Not available in all counties.) r ^( /�'�t 4_�Y/ —I `� —� IlJC o0 Address(Numberand Street) City, Sane ZIP Code County �1 1�— I S Primaryprapertyawnermnma name E�all Under penalties of perjury, l 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: f tin, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being fiI nature o/ I SignamreofBUyer2/5pouse _�..kk O Legal h'ameofBu)w l Sign Date(MMIW/vYYY) Prm red Legal Name of Buyer 2 1Spouse Sign Date pum/w/rrm .Printed I LastSd{gits ofeuyerl Drivers State Last 5 Digits afSodal Security Number Last SdigitsofBuyer2 1Spouse Driver's State Last 5 Digits of Social Security Lireue/ID/Otber Number Number License /ID /Other Number 'Y