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Homestead_Byrns • LI INDIANA SALES DISCLOSURE FORM SDFID: 1 3 I Paget D.PREPARER - C.Dean Higginbotham Attorney-At-Law Preparerofthe Sales Disclosure Form Tide 18 East State Street Higginbotham Law Office .ddress(h'umberand Street) Company Princeton. Indiana 47670 812-386-3040 dean(alhigglaw,net Op,Sung and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - Eugene I mils Repo? -It Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4844 Winnebago Drive Addtem(Number and Street) Add,en(Number and Sueei) Hoover Alabama 35244 Telephone Number E-mail Under p •es perjury I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c ple r qui y 1 v,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller _ Signature of Seller .t=om e.--SeLnuAsReerei.Ssr net/ ttfL201Z Printed-1r me of Seller Sign Date( WOO/MY) Printed Name of Seller Sign Date(MM/DO/Yrrr7 F.8UYER(SJ/GRNTEE(S) APPLICATION FOR PROPERTY TAX-DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY - - Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document Albert Bvms {fie,\k I 3y ��(.SS Address(Number and Sneer) Address(Numb,and S�t) Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ® ❑ 1.Will this property be the buyer's primary d ❑ 3. Homestead residence? Provide complete address of primary ❑ TA 4.Solar Energy Heating/Cooling System 0BO � residence,including county: ❑ 4 5.Wind Power Device Address(Number an eet) ❑ TA 6. Hydroelectric Power Device Dv eusq;1\-c ‘ N (47665 Cary,State ZIP Code t - County - ❑ © 7.Geothermal Energy Heating/Cooling Device Q ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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. G( Z S q4S(•) W Not available in nit counties.) Address(Number and Street) 1N LkT7665 �J,, a1a-n-o2.- 1ao 005 1y(p Oa (7 weeSSJIl1C ly / . Albert Byms Kti bylet-iSVOOA ,+r Ohs State ZIP Code County Mu el�� 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 Prot • .S -ales Disclosure Act".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessa if o omestead Deduction is being filed.) ?c G GGt gess/e K . / / I 4 • la r ofls'r1 ./� ifl e S Si namr ofBuye /pause