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Homestead_Armes (2)
INDIANA SALES DISCLOSURE FORM SDF ID ' SDO ID 1781526 Page 2 D.PREPARER �1 Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W.Broadway St. Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 broadwaytitle @insightbb.com City.Slate,and ZIP Code Telephone Number Email E.$ELLER(S)/GRANTOR($)_ .- - . . •,t- ' _ . . Secretary of Housing and Urban Development of Washington,D.C. Seller I-Name as appears on conveyance document Seller 2.Name as appears on conveyance document 40 Marietta Street Address(Number and Street) Address(Number and Street) Atlanta,GA 30303- 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 comple as required b I T,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". //SgnatureofSeller G Signature of Seger G ;i r St'se— 8101. I "�-o� n,"ne•e n.0,,,n,mM1 nthrri ram aro•ne- r•--o".e I MI Ravi F.BUYER(S)/GRANT• (S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY ALL ITEMS THAT APPLY - I • Marcus Scott Armes Buyer I-Name as a on conveyance document Buyer 2'Name as appears on conveyance document 0 S.Main Address j ii m er and Street) Address(Number and Street) Patoka,IN 47666- Tele•,. . E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS F c• IS PROPERTY. IDENTIFY ALL OFTH r'.THAT APPLY. YES NO CONDITION YES NO CONDITION © ❑ 1.Will this property be the buyer's primary _El ❑ 3.Homestead residence? Provide complete address of primary 2 2 e .- nergy HE. �i�C lin Ee19 ■ - residence,including county: i! 205 N MAIN ST. ❑ ❑ 5.Wind Power D-• ce Admen(Number andStreet) ❑ El 6. Hydroelectric PoweSH,gfq it�i2�,q/ .nnj3 Patoka,IN 47666 GIBBON ❑ © 7.Geothermal Energy Heat "_.tooling Device City,State ZIP Code County ❑ ] 2.Does the buyer have a homestead in Indiana to be ❑ El 8. Is this property a re • ential nt property? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to Plents for this complete address of residence being vacated, property viapIBelra ffeccOIdN3bMitAiiDy1$Rtion including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) or);State ZIPCode County a(o-by-a4-3011-000- a34-OdC) 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 hein filed.) /lylan C 64,11 4 /,- ahBuyeri Signature ofBUyer2/Spouse / rurae oCfu , C7 c0t -N A-cme5 C3/703 Number License/ID/Other Number