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Homestead_Barnes
INDIANA SALES DISCLOSURE FORM SDI:ID SI)O ID 1777727 Page 2 D.PREPARER Bryceann Cutsinger Prepare of the Sales Disclosure Form Title 226 West Broadway Broadway Title Address(Number and Suitt) Company Princeton,IN 47670- _ 812-386-1687 broadwaytitlel @insighibb.com City.State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) James D Skaggs Seller I-Name as tippeurs on conveyance document Seller 2-Name to appears on can.ayunce dueument 7989 South Andee Lane Address(Number and Street) Address(Number and Street) FL Branch,IN 47670- Telephony Number Email Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and omplete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". y tort a(Seucr -- Signature of Seller 4X4c-L� 73 si 66s � lacP/i3 Pnnr.ANaa..aa cellar r,..,,n,.•.i««••,n•„e, n.:",od,m„nenrcner s:",n-•.,worn..mm F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Lowman L Barnes Jr Buyer I-Name as appear an conveyance document Buyer?-Name as appeals in canvesance document 7855 South Andee Lane Address(Number and Street) Address(Number and Street) Ft.Branch,IN 47648- Telephone Natalie. 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 © ❑ 3. Homestead residence? Provide complete address of primary El © 4.Solar Energy Heating/Cooling System residence,including county: 5.Wind Power Device 7989 SOUTH ANDEE LANE ❑ Address(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Ft.Branch,IN 47648 GIBBON ❑ Cl 7.Geothermal Energy Heating/Cooling Device Ciot State ZIP Cafe 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 being vacated, property via e-mail?(Provide contact information including county; below.Please see instructions for more information. - Not available in all counties.) �j Address(Number and Street) '•') 1 Q_1 / /D 5 w / /Se 7 oa60 Lo City.State ZIP Cafe County Ql 7 u l•t/ 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.) Ar ill Signatureof Buyerl Sturm lure of Buy erg/Spouse La✓mrrl- /� b,//f/C 5 1r 6-0-6 13 Number License/1D/Ocher Number