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Homestead_Overton
INDIANA SALES DISCLOSURE FORM SDF ID Prepareruf the Sales Disclosure Form i05 S. E. Marlin Luther King Jr. Blvd. Address (Number and Street) vansville, IN 47713 - City, State, and ZIPCade Lawrence R. Robison Seller] Nameasappearson aonvetmse document 103 N. Third Ave. Address (Number and Street' Haubstadt, IN 47639 - City, State. and ZIP Code SDO ID 476109 Pape 2 Tide Southwestern Indiana Land Title Camlmny E -mail Sandra S. Robison Seller2 Nmneasappearsoncnnrepnote dxument 103 N. Third Ave. Address (Number and Street) Haubstadt, IN 47639 - Coy, State, and ZIP Cade Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct an complete as required by law, and is prep2ired in accordance with IC 6- 1.1 -5.5, "Real Property Sales Dts _cIpsure Act ". Signarure of Seller �Sia+namre o'fSe'll_er f i�jtNYwurt�— b;scrl boi Ew. i`�1 S;K•�t'�'t, i-ic i�.ICC S. 2061Su -\ 6Li Ccs:, (t�.�it+•�f -�,, {t F. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DUCTIONS- IDENTIFY AbL ITEMS THAT APPLY Jeremy W. Overton J Tara B. Overton Be),I - Name as appear, mm• nee doeumeat Quyerl Name asappears on nveyvnce document 605 E. Haub Street IN 47639- Haubstadt, IN 47639 - ,d ZIP Code City, State, and ZIP Cade 1 THE SALES DISCLOSURE FORM MA1 BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO- URTfi6ENTIFY A TOFi41DSE THAT APPLY. ❑X ❑ 1. Will this property be the buyer's prim residence? Provide complete address residence, including county: 605 E. HAUB STREET Address (Numb,,m dSuea) Haubstadt, IN 47639 NOT APPLICABLE City, State ZIPCade Comity ❑x ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide complete address of residence being vacated, including county: 202 E. GIBSON STREET Addre,s(NumbermMSnecQ Haubstadt, IN 47639 GIBSON City, State ZIP Code Came, ❑ 3. Homestead JJ jJ 4. Solar y Heating /Cooling System ❑ S. Wind Power Device ❑ ❑ 6. Hydroelectric Power Device ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © B. Is this property a residential rental property? ❑ © 9. Would you like to receive tax statements for this property via e-mail? (Provide contact information below. Please see instructionsfor more information. Not availab;law counties.) d_ 6 -19 - Cog. 9 Printery 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, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being filed.) 1�%1.Piot'U.,)." W Oyat�✓i -� G`r�Nt�M- �GN7� -1 'i f /'II� �i+h -!<- i5- �� =y/evL �. G,vf�Gcj�ir�t`f'�1. D`/t% SionatureoJlsoyerl �PrPm y Signature ofBuver2 15pause W. Over -fa, 61 A I r —rare 1. Ove,4,,, bJ E,v, IN S t�. AIF Pnrtal Le 'nd Lgal Ne oBUr2 /Spuse e A r1 dab -t &t Sign Date lrw/Dn/trrh Digits of Social Security License /ID 10ther Number Number license/ID /Other A'umber A��