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Homestead_Meny (3) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1729324 Page 2 — _, r t �, "T a-.arpY�+ 't� F r.'`��-�. .s: .'F�.i-�.YY.:rS.o-.`mac ',a�ry':,�_.,� '."41_z'r,. d. -.f•`�S.P ;��..e:::=.T Pik.-1-1-13M -D:'PREPARER�� r. _ t _ Kimberly A.Lewis Office Manager IN Pre parer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim-bti @insightbb.com Ciry,State.and ZIP Code Telephone Number E-mail EY.SELLER(S)7GRANT0 KS) ?+ ; J tee' 0.1.?A... k ti { , f6 r. ,�, t n t.l r" +t } :;• '{c t .. ._..,,- -1 Ti+ n ... _.Yarn ..-tea+n-.�, w.�.� 1hel:'u. .:�� n t*r, x. C Alvin Lloyd Sisson Sara Joan Sisson Seller 1-Name as appears an cot veyance document Seller Z-Name as appears on conveyance document 2464 S 950E 2464 S 950 E Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Oakland City,IN 47660- 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 comp ete as require b I law :nd Is repred in accordance with C 6.1.1.5.5,"t eal Property Sales Disclosure Act". Mum t 1 ` r i �\ of Sett- ' Vl r 1 s \,,v d r JJ 1\1 Signature b J{ e ( 1 - o f 1 1 grit,YER(S)/GRANTE l fiAPPLICATION`,FOR'PROPERTYTAX•I B -• ONS-IDEN ,ALLITEMS'cTHAT,APPL'Y - _ _;, IBrandon T.Men); Whitney K.Page Bayer] Name as•• on conveyance document Buyer 2-Name as a • •rs on conveyance document "NO' S.Smithville Rd. -. - e Rd.57 Address(Number and Street) Address(Number and Street) - Decker,IN 47524- Oakland City,IN 47660- _., THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION NO CONDITION © ❑ '1.Will this property be the buyer's primary © ❑ 3.Homestead _ , residence? Provide complete address of primary nergy Heating/Cooling System residence,including county: ❑ 2464 S 950 E 5.Wind Power Device Address(Number and Stmt) ❑ Q 6.Hydroelectric Power Device Oakland City,IN 47660 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode County ❑ 0 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 ❑ © 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 I counties.) Address(Number and Stmt) 00_ Q/� City,State ZIP Cade County _� '��- t " / OY Primary property owner contact 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, I cial Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is b g Hledy tgnature pfBuyerl , Signature ofBUyer2/ use 4 . m .._„ Si / 0\\-1-1-,,.44 P �. \i/111 -'