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Homestead_Deal
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Karen Harbison VP Preparer of the Sales Disclosure Fonn Tide 803 E State Rd 68 Haubstadt State Bank Address(Number and Street) Company Haubstadt IN 47639 812-768-5800 kharbison(eesbanc.com City.State.and ZIP Code Telephone Number E-mail &ESEGEER(SJ/GRANTOR(S) , -_ . - ,lames H Read II Jana Denise Marole Seller I-Name as appears on conveyance document Seller?-Name as appears on conveyance document /S Vic° YO CI 2—g V % / 7 / ,c Isle- f 3+ Wesj(Number and Street) /f Address(Number and Street) (/4 /Y..OA / L Cf 77 /-./46 lnla V&✓y 1t I K�� t/ -(F (y 1- Under p nalties of perjury, I hereby certik'that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co plete as req y an s 'P ed in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". , � o`'( va /')7�AP E e� r - gynature of Seller -- lam (7 1--/es H Road II [� Jana Denise Marole 1'cr (J Printed,Name of Seller Sian Date(MM/DD/IITn Printed Name of Seller Sian Date(01/OD/1YYYr •F.BUYER(S)/GRANTEE(S)_-APPLICATION:FOR'PROPERTY_TAX.DEDUCTIONS_IDENTIFY_ALL ITEMS THA1APPLY_ - _ - . _ Michael T Deal Jayne A Deal Buyer!-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 601 Water Tower Rd 601 Water Tower Rd Address(Number and Street) Address(Number and Street) Owensville. IN 47665 Owensville, IN 47665 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I NO CONDITI . 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.So ar nergy Heating/Cooling System residence,including county: ❑ I 1. 601 Water Tower Rd S.4L nd Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Owensville. IN 47665 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,Sure ZIP Code 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 ❑ 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. Nor available in all counties.) Andress(Number and Street) 7� -ate City State ZIP Code County. A�-�— 3t1b-VW.Ia(�-Oda 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 bei/n�g2filed,� i / / /) n"i/.�rl �+ Lf 1 / ,J /A) U//Sgnamre of Buyer] Si47194 of B' Michael T Deal 1-6 -T3 Jayne A Deal g-G -i 3 r1/