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Homestead_Koch (2) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1783585 Page 2 D.PREPARER Samantha Cutsinger I Preparer of the Sales Disclosure Form Title _226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 I broadwaytitlel©insightbb.com City.Slum and ZIP Code Telephone Number I F-mad E.SELLER(S)/GRANTOR(S) I Weston Lee Kuykendall Karley Jenee Kuykendall Seller I-Name as appears an conveyance document Seller 2-Nome as appears on conveyance dacirmeat 7848 W.SR 165 7848 W ST Rd 165 Address(Number and Street) Address(Number and Street) Owensville,IN 47665- Owensville,IN 47665- Under penalties of perjury,I hereby ce ify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn lleette as require y by law, is rep ed in accordance with IC 6-1.1-5.5,"Real Pros er Sales Disclosure Act". Ing..a.urc eller / // /, / / S ...,e.e of e' .- ii-c$GYI /Pe /to,drio/ldY�! /�l ZX/2n/ /. , 7J / . 'roc I ,. u1 1 4w/Mr!.w1e,..P tiem F.BUYER(S)/G' .A TEE(S)-APPLICATION'FOR PROPERTY TAX DE 1• IONS-IDEN ALL ITEMS THAT APPLY Andrew W Koch Samantha J Koch Buyer l as appears an conveyance document Buyer 2-Nam • , ears on conveyance duciiment 202 Maple 202 Maple Address(Number and Street) Address(Number and Street) I Owensville, IN 47665- Owensville,IN 47665- THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION :5 NO CONDITION I © ❑ 1.Will this property be the buyer's primary ❑ 3. Ilunles residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System residence,including county: ❑ © I 7848 W SR 165 5.Wind Powe Address(Number and Street) ❑ ❑ 6. Hydroel is o er ED Owensville,IN 47665 GIBSON ❑ ❑ 7,Geother l E eating/Cooling Device City State ZIP Code Count' ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8. Is this proper}y(T{ieritgs1II 'ental property? vacated for this residence? If yes,provide ❑ © 9.Would you Iii 2 o receive tax statements for this complete address of residence being vacated, property via e-mail?? (Previd- - •ct information including county: below.Pleases --00777t• r more information. Not available i� - ' b •,irsOAUDITOR Address(Number and Street) �iQ �1 �� ��Y(GIBSON vT City,Stoat ZIP Code County " - Cot . .90 " Primary property owner contact name I E-mail