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Homestead_Snyder (6)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Karen Harbison VP Preparerof 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(a_)esbanc.com City,State,and ZIP Code Telephone Number E-mail •EeSGLIER(S)/GRANTOR(S), _; :':_ — -`- ` .' -- _ ---- _ created under the Cast Will Family Special Needs Trust n tt 'r eStamenL of Anthony Catherine Nadine pe Iners Trust U/T/A 02/04/2010 Seller I-Name as a ears on ronv 4i aafl y Seller 2-Name as a ars on conveanre document 12556 S Owensville Rd A. Elpers dated May 17, 200 556 S Owensvium Rd 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 d coa lete as required by law,and is prepared in accordance Aii%r h IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature ofS er Signature of Seller Ronald P FlnPrs Rita R Beckley Co-Trustees 08/09/2013 Ronald P Boers Rita R Beckley Co-Trustees 08/09/2013 Printed Name of Seller Sign Date(mAVDD/YYIYI Printed Name of Seller Sian Dateµw/DDrnYYt ,F.-BUYER(S)/GRANTEE(S)-APPL1CATION!EOR PROPERTY TAXDEDUCTIONS IDENTIFY ALL ITEMS THAT APPLY_ _ _ ___ Nicholas B Snyder Buyer 1-Name us appears an conveyance document Buyer 2-Na,ne as appears an conveyance document 885 W 1200 S Address(Number and Street) Address(Number and Street) Haubstadt. IN 47639 Telephone Number 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 I YES NO CONDITION [f ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead � residence? Provide complete address of primary ❑ © 4.Solar Energy HFgJoling eID residence, including county: ❑ '' S.Wind Power U e 478 W 1200 S 1 I Address(Number and Street) ❑ 2 6.Hydroelectric Power Device t� 9�❑t Haubstadt. IN 47639 Gibson ❑ 0 7.Geothermal Energy l Ut7r12'/�6141Hf?,Device City,State ZIP Code County ❑ FA 2.Does the buyer have a homestead in Indiana to be ❑ El 8.1s this property a rest ential rental roperty? vacated for this residence? If yes,provide ❑ 0 9.Would you like to r ents for this complete address of residence being vacated, property via 61880[;PCCIA¢pyt¢Rq al5TORtiml including county: below.Please see instructions for more information. Not available in all counties.) .iddess(Number and Street) / Cry.Sate ZIPCode County j6-j 3-DO -•30,-000,959- oa y 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 bein• file..) I i 'I/. A , 1ir :+ Signature of Bayer! 7 Signature afBuyer2/Spouse Nicholas R Snyder 08/0°(21013 Number License/ID/Other Number