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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARERM . _77T T-7
_ Dadene Robinson Attorney at Law
Preparer offhe Sales DWasure Farm Title
253 N. Main Street ROBINSON & ASSOCIATES
Addrevr(NumberandStreet) chowny
_Oakland City, IN 47660
E-mail
_E- SELLERS )YGRANTOR
rpay Howard
Deborah Htlwarcf
Seiler 1 - Name as appears an conveyance document
10600 Yallowbanks Trail
Seller 2 -Name as appears on conveyance cfommmt
10600 Yellowbanks Trail
Addrecs (Number and Street)
Data IN 47523
Address(NumberandStrort)
Dale, IN 47523
City, State, aadZIPCode
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 co lete as regyfred by w, and is prepared In accordance with IC 6-1.1-5.5, "Real Property es Disclosure Act".
Signota Signacureofseller
G P 044 Deborah Howard
_Qr6red NameqFSeller Sian Dow (MM MD Name aseller Sian Dow (MMIDDlYrM
_Prtmeal
:BUYER (SYI GRANTEE (S YAPPLIC-ATION7FOR'P.ROPERTY;TAX D HTEMS7HAVAPP LY114�
Robert Howard
Amanda Howard
Buyer I Name non conveyance document
Buyer2-Nameasappean anco cedocunume
7ftM!ZQrMain St�t
9ME=*tBut t
�'Address
. (NumberandStrear)
Address (Number and Street)
Sommerville. IN 47683
Sommerville. 47683
E-mail
Telephone Mm E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR . ID:_MAU OF THOsii`D`7y"
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary
3. Homestead
residence? Provide complete address of pn
A, Heating/Cooling System
residence, including county:
S. Wind Power Device
❑ E] 6. Hydroelectric Power Device
AddressffuntbercmdStreeti
❑ 2] 7, Geothermal Energy Heating/Cooling Device
❑ 2] 8. is this property a residential rental property?
Gty,SwttZIPCode County
❑ FJ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ 2] 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 instructionsfor more information.
Not available in all counties.)
0-79 -60z?
Addrets (Number and Stmet)
C1tvStmeZIPCode County I
Printapropertymwnercanwaname 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, 011eall Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
lleM I
Signaturroffluyerl ymaureqfay 21SPOUPE
All
04,1- �- 1�zw vll b 14 711- 6,,ill) 7111)
Printed Legal NameoflItgerl simDdV(M*0D1YYYY) PrttitedLeuoINmneqfBVyw21Spaase Sign Dow (MMIDDIY"
Number Last 5 digits, offtyer2lSpouse Driver's State Lost 5 Digits of Social Security
Licenseflill0ther Number Number License/ID /Other Number I