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Homestead_Vaught INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1793111 Page 2 Kathy Masterson _ Escrow Officer _ Preparer of the Sales Disclosure Farm Tide 605 SE Martin Luther King Jr Blvd Southwestern Indiana Land Title Address(Number and Street) Company Evansville,IN 47713- 812-425-0055 kathy@swinland.com City,State.and ZIP Code Telephone Number E-mail £:SEIiLER(S)/GRANTOR(S). - - .4;;;;;‘,;-:::-:. - 9,27' Ryan Andrew Runyon • • Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2930 S ST RD 68 Address(Number and Street) Address(Number and Street) 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 and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller ]' ILE N T() Pdn•ed Nn,"unlcpPrr cinn Unto taw mmvvvn Pri"rrd Nnme.(4I4- Cfrn MrrufwrrnmmT :F RIIVCD(a)/CDANTEE(S) .APPLICATION'FORPROP.ERTYTAX-DEDUCTIONS-'IDENTIFY ALL ITEMSTH$J,4PI�,X-2011 . - - ' ' Megen R Vaught ) MNN11 8D Buyer.-nanreas appears on conveyance document Buyer 2 Name as appears an conveyance document sn'[ 200 N Race St Address(Number and Street) Address(Number and Street) GIBBON COUNTY AUDITOR Haubstadt,IN 47639- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestea residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ 2930 W ST RD 68 5.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device HAUBSTADT,IN 47639 NOT APPLICABLE ❑ 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County ❑ ] 2.Does the buyer have a homestead in Indiana to be ❑ © B.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ © 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Nato s .. • . . . , - Addres(Number and Street) Flo - L )-03 - (00 -ODO. yG,-oA.Y Ciry,State ZIP Code faun •