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Homestead_Manns INDIANA SALES DISCLOSURE FOR.I SDFID SDO ID 1766514 Paget D.PREPARER • • Jay D.Walden Attorney at Law Prepnrer of the Sales Disclosure Form Title 202 E.North Street Law Office of Jay D.Walden Address(Number and Street) Company Grayville,IL 62844- 618-375-2611 jdw @nwcable.net City State.and ZIP Cade Telephone Number E-mail•E.SELLER(S)/GRANTOR(S) • - - .- . . -• Vickie Lynn Jones Seller I-Name as appears on conveyance document Seller Z-Name as appears on conveyance document 11826 N. 1800 Blvd. Address(Number and Street) Address(Number and Street) ML Carmel,IL 62844- Telephone Number 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". Signature of Seller Signature of Seller nr-•.,/•; rry.rre G--Ilse ,•rtnrtm� lRire4N nitelrr■ b-n/Mme n0 n191, F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-,IDENTIFY ALL ITEMS THAT APPLY - Avery Manna Buyer Name as appears an conveyance document BgverZ-Nnme us appears on cony am• u nt 8311 W. 175th North , Address(Number and Street) Address(Number and Street) Princeton,IN 47670- l (� 7 2013 Telephone Number /? E-mail THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE'1 YES NO CONDITION YES No CONDITION GIBSON COUNTY AUDITOR © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ 8 in 311 W. 175TH NORTH 5.Wind Power Device Address(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Ell 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 being vacated, property via e-mail?(Provide contact information including county: 67ry% below.Please see instructions for more information. (J"' Not available in all counties.) Address(Number and Street) State ZIP County (20-03_35'3a) • 3S r] CirY.S 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 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.) Signature of Buyers Signature of Buyer2/Spouse Number License/ID/Other Number