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Homestead_Winstead INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ' l'D:PREPARER . -- - Karen Harbison VP Preparer of the Sales Disclosure Farts Title 803 E State Rd 68 Haubstadt State Bank Address(Number and Street) Company Haubstadt IN 47639 812-768-5800 _ City,State.and ZIP Code Telephone Number E-mail 'E.-SELLERS)/GRANTOR(S) - • Wendell G Hibdon Michelle M Hibdon Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 10850 S Oak Ridge Estates 10850 S Oak Ridge Estates Address(Number and Street) Address(Number and Street) Hauhstadt IN 47639 Haubstadt In 47639 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 h required b 1 v,and is prepared in accordance with IC6-11.1.5 5,"RealPPyropertty/(Scales Disclosure Act". JSignature of Seller '\Signature o7 Seller Wendell G Hibdon 7/17/2013 Michelle M Hibdon 7117/2013 Printed Name of Seller Sian Date(MM/DD/11111 Printed Name of Seller Sian Date 0MM/DaryYr17 F.BUYER(S)/GRANTEE(S) AP.PLICATIONiFORPROPERTY TAX'DEDUCTIONS_-IDENTIFY AELITEMSLTHAT AP.P,LY Kavcie M Winstead Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveys e u 11 aite e10850 S Oak Ridge Estates Address(Number and Street) Address(Number and Street) - TelephoTY. IDENTIFY �n'/�'.v E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE/s/r�ski YES NO CONDITION I ES NO CONDITION0i1BSONCOUNTYAUDIT 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 10850 S Oak Ridge Estates S.Wind Power Device Adaress(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt, IN 47639 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code foamy ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 6.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?i (Provide contact information - . including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) Dot. goy-024 6 - a343a- Ltoo- City State ZIP Code County 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 filpd.) •Signature of ryerl Signature ofBUyer2/Spouse Number License/ID/Other Number