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Homestead_Burns (2)
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1780121 Paget D.PREPARER _.- .- - _ •, . _ . - -. ,. Kimberly A.Lewis Office Manager Prepurer of the Saks Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim-bti @insightbb.com Dry,Stare,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - _ . : Bryan D.Tucker Velvet D.Tucker Seller I-Nume as appeon on conveyance document Seller 2-Nume us appears on conveyance document 9807 S.Joy Lane 9807 S.Joy Lane Address(Number and Street) Address(Number and Street) Haubstadt,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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ----et ( «L Sianawre eller Signature of Seller aNC1/4 A. V, Iv Crer 8-1 -dol3 Vetjti- L Tiicktr 3- I- /3 Vrin,aA Nnm nl Callvr Sinn nrr 4V/ff,YYYYI Prnted Nnr of Cvilo- Inn nn,✓rWfnnm-vttn F.BUYER(S)/GRANTEE(S)m_APPLICATION.FOR PROPERTY TAX DEDUCTIONS-.IDENTIF-YALL ITEMS THAT APPLY. .. . _ Tifani L.Bums Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 427 Dale St. Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY Al L 0 THOSE THAT APPLY. YES NO CONDITION � — NO CONDITION © ❑ 1.Will this property be the buyer's primary © • i n-steae residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: DALE ST. ty ❑ 5.Wind Power Device Address(, ;mber and Street) ❑ © 6.Hydroelectric Power Device Oakland City,IN 47660 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © B.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.) Address(Number and Street) �., City.Slate ZIP Code County 1Q G_ I q-l8,3a3-c. 11 5 -007 Pnmaty 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 bein: led') - i 1/ o + Si Boxer! Signature ofBuyer2/Spouse 4'/7/ Z Dl /f 7°/3 Number License/ID/Other Number M