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Homestead_Gewirtzman
INDIANA SALES DISCLOSURE FORM SDP ID 51)0 ID 1795981 Paget D.PREPARER Samantha Cutsinger Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 Samantha.bti@rmv.twcbc.com City,Ante,and ZIP code Telephone Number E'mad E.SELLER(S)/GRANTOR(5) John H Wood Carolyn M Wood Seller I-Name as appears on ronve,vme document Seller 2-Name as appears an conveyance document P.O.Box 25 P.O.Box 25 Address(Number and Street) Address(Number and Street) Owensville,IN 47665- Owensville, IN 47665- Under penalties of perjury I her a certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and i plete as r I uired b 'law a d is prepared in accordance with ' 6-1 1-5.5,"Real P•I perty Sales Disclosure Act". .Sip ca c of Sere �/ Sr,, .. e'le' r ��i 0 Pn-rwl {N.on., ran r -- nr err r - N. ,•,.,my,if,n F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT 4•P Josh B Gewirizman Audra N Gewirizman i_I Barer l-Name as appron on conveyance davment Buyer?-Name as appears on ,nveya ed,jun a .- 604 S 12th 1/2 Street 604 S. 12th 1/2 Street Address(Number and Street) Address(Number and Street) AUG 14 2014 Vincennes,IN 47591- Vincennes,IN 47591- THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTHIS PROPERTY.IDENTIFY ALeOlitt5 ISETNATA PLF'. YES NO CONDITION SO C0.' © ❑ I.Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ -0 4.Solar Energy Heating/Cooling System residence,including county: ❑ © 5.Wind Power Device 106 S.SECOND Addre.yNumher and Street) ❑ ❑ 6. Hydroelectric Power Device Or+ensville,IN 47665 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device Dry.State SIP Code Count' ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8. 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. Not available in all counties.) Address(Number and Street) -11- 1a-aoa-000.�aQ-aria City.State ZIP Code County Primary property owner contact name E-mail