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Homestead_Mattingly
INDLYNA SALES DISCLOSURE FORM SDF ID SDO ID 1763891 Page 2 .D:PREPARER Kimberly A.Lewis Office Manager Pmparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Ttle,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim-bti @insightbb.com City.State,and ZIP Code Telephone Number E-mail 'E.SELLERS)/GRANTOR(S) . •-.1- :17-.4:.'..27 .. ra. '_ '±7 t:' .. - .. . Gary Ross Steven Ross Seller 1•Name as appears on conveyance duturnent Seller 2.Nome us appears on conveyance document 1563 W.Beresford Rd. 47 Beechwood Rd. Address(Number and Street) Address(Number and Street) Deland,FL 32720- Jeffersonville,IN 47130- Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct complete as requ• by law,and is prepared in accordance with IC 1.1-5.5,"Real Property Sales Disclosure Act". ein-- ,JC .Sigr-"c are of Ier Signature of.Seller -(no.. x R "Ron 3-1H - 13 5.4-euen) 12055 5 -ILI- 13 Pn'�r"A Nvm"n( IL. cir"nmeeVY inn Arm, P,- edv n(Crn"- P%""nr, ruvmnnYYA ‘F,BUY-§&($).GRANTEE(S)-APPLICATION.FOR PROPERTYTAX DEDUCTIONS-IDENTIFYALLITEMS THAT.APPLY _ ' (" Lou Mattingly Buyer l• e as appears an conveyance document Buyer 2-Name as appears on conveyance document 2 Clippinger Rd. - Address(Number and Street) Address(Number and Street) Evansville,IN 47725- [ Telephone Norther E-mail _ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORT •":•ERTY. IDENTIFY ALL OF ': E THAT APPLY. YES NO CONDITION /4 YES NO CONDITION © ❑ 1.Will this property be the buyer's primary \\f3 IN _ ....- -.1 residence? Provide complete address of primary ❑ . . • _ .• gy Heating/Cooling System - 3 residence,includin g county: S.FIRST ST. ty: 0 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Owensville,IN 47665 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 heing vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) p�•(�/ City,State ZIP Code County' `6I eq- /o3 • 000. 63o-� Pnmasy property owner contact name Email 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". (Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) (//A/ /y a are ofgavet s Signature of Buyer2/Spouse Lori' AACu-k-r inet O II4Ii Number License/ID/Other Number •