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Homestead_Motteler
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1781346 Paget D.PREPARER Peggy A.Ralston Title Assistant Prrpnrer a)the Saks Disclosure Form Tide 3101 N.Green River Road Suite 130 Trustworthy Land Title Co..Inc. Address(Number and Street) Company Evansville,IN 47715- 812-471-8563 pralston @twlitle.com cent State.and ZIP Code Telephone Number E-mail E.SELLER(5)/GRANTOR(5) Jonathon R.Caudill Seller I-Nunte to appears on conveyance document Seller 2•Name us appears on conveyance document 9900 Winyard Address(Number and Street) Address(Number and Street_] Owensville, IN 47665- Telephone Number E-mail Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct jandd c bete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". IC 5(gnuture of Seller Signature of Seiler CGncii�(10V\-2. Cn,,Ld 1 l 8-`I-(3 qi-.,y q•....,.nrSrnn- G..n(4-.,Vy•9t M1T)", .�-SM:'nnrr`t"an. -.rr D..rnnn.,n..vssy. F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Kino P.Modeler Buyer 1-Name as appears on conveyance document Surer 2-Name or appears on conveyance document 524 Washington Address(Number and Street) Address(Number and Street) 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 9 ❑ 1,Will this property he the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy He- g '.M nD residence,including county: Wind Power Devi 9900 W Ili El 5.INYARD Address(Number and Street) ❑ © 6.Hydroelectric Power Device Owensville,IN 47665 GIBBON ❑ © 7,Geothermal Energy HIND ,tS6-10i)evice Crq'.Stare ZIPCode CounA' 9 ❑ 2.Does the buyer have a homestead in Indiana to he ❑ © 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ © 9.Would you like to rece p tax s s for this complete address of residence being vacated, property via e-mail?(}�di$4 e 11r r1ztgTApn including county: below.Please 5®IBSekttt61C3 tai Ifc oirmvotion, 524 WASHINGTON Not available in all counties.) Address(Number and Street) n n Rockport,IN 47635 NOT APPLICABLE 96—*\• t—0q,-9,0D-004.1331- O�1 City.State ZIP Code County ✓' 1 Primary'impact.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 heirs fit y i -IsZSear noire oar Sr Signature o)8uver2/Spouse no 0 M-41-o la.r 2-1—(3 Number License/ID/Other Number