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Homestead_Hancock • • INDIANA SALES DISCLOSURE FORM SDF ID: • Page 2 D.PREPARER _ . Karen Harbison VP Preparer o/the Sales Duelasure Form Tide 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.SELLER(S1/GRANTOR(S _ Pamela.I Hancock fka Pamela I Kruger fka Pamela J Newton Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 9894 S 550 W Address(Number and Street) Address(Number and Street) Telephone Number E-mail Un er penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and omplete a5�equjr-.r by law,and 's r repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller 1\ Il Signature of Seller Pamela J Hancock VVV���111 08(05/2013 Prin: Sian Date IMII/oD/Ynm) Printed Name of Seller Sion Date(MM/OO/Yn'YI "..BUYER(S)/GRANTS• )a APPLICATION FORPROPERTY TAX DED (Pawl THAT APPLY- Steven D Hancock Pamela4Hancock Bayer I-Name a - , en on conveyance document (I Buyer 2 home as appears • onveyance document•• . 50 W 98945550W 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 FO: •ROPERTY. IDENTIF • THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary I 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ 11J Molar Energy Heating/Cooling System residence,including county: TTTTTT 9894 S 550 W ❑ 5.Wind Power D�v'µe � ■ Address(Number and Street) ❑ j 6.Hydroelectric we O Owensville IN 47665 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County A�l�,,I�C'C q0499pp1�2q ❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a reSe1[1Cn iat P41iMI property? vacated for this residence? If yes,provide ❑ Q 9.Would you like to receive tax stat•men for this complete address of residence being vacated, property via a-ma o-� r,yfjj!act information •including county: below.Plea;g,�gg+i t 3 fe ATisuyeiration. Not evailab e a coup les. Address(Number and Street) _0?. 100 o -Oa City.Store ZIP Ca Code County o Primary property owner contact name E-mail