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Homestead_Smith (2)
C C C INDIANA SALES DISCLOSURE FORM SDF ID SDO ID .734619 Page 2 D.PREPARER - SamSntha Cutsinger Preyarer of [he Sales Disclosure Form Title 1 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670- E. SELLERS GRANTOR S Marty Robbins Seller I - Name asnppaurs an vunveymnae dorument 5e11er'2 Name as uppeon on evnrcyvnre document 5056 S Lincoln St. Address (Number and Street) Address (Number and Street) Oakland City, IN 47660 - City, Sta to and Zip Code Gty, State, and ZIP Cade E -mail Telephone Number E -mail Under penalties of perjury, 1 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 ". Signature ofSeller Sigamin a of Seller TEES - APPLICATIONFORPROPERTYTAX TIONS- IDENTI LL ITEMS THAT APPLY Duane A Smith Madonna J Smith Buyer]h'omen .rs an convevonce document on conveyance document --T21-35-E. 12135 E. Hickory Lane Hickory Lane Addrees(A'umberand SVeeu Address ]Number and Street) Oakland City, IN 47660- Oakland City, IN 47660 - City. State. and ZIP Cade City, Smte, and ZIP Code E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEN71FV ALL OF THOSE THAT APPLY. YES NO CONDITION N CON DIT • x❑ ❑ 1. Will this property be the buyer's primary x 0 3. Homestead residence? Provide complete address of primary ❑ ❑ 4, Solar Energy Beating /Cooling System residence, including county: ❑ 5. Wind Power Device 5056 S. LINCOLN ST. ❑ ❑ 6. Hydroelectric Power Device Address (Number and Street) Oakland City, IN 47660 GIBSON ❑ © 7, Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? Cary, Stare ZIP Cade County ❑x ❑ 2. Does the buyer have a homestead in Indiana to be 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. 12135 EAST HICKORY LANE Not available in all counties.) Address (Number andStreet) Oakland City, IN 47660 GIBSON City. State ZIP Code County Nimarypmperry mvner rantaR 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: Spou information Soc ecu city nd Driver's License /Other numbers are not necessary if no Homestead Deduction is bei filed.) - h L n mrt ofecyerl Signature afB erg /Spouse S J r N �o Z�7,Y,rlL Q S4:rs 14-�� Printed Legal Name .1 Buyer Security License /1D 10ther Number I Number License /ID /Other Number