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Homestead_David
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1799501 Page? D.PREPARER Samantha Cutsinger Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Sneer) Company Princeton.IN 47670- 812-386-1687 samantha.bti @mw.nvcbc.com City,State,and ZIP Code Telephone Number E marl E.SELLER(S)/GRANTOR(S) Sara J McQueen f/k/a Sara J.Saunders Seller I-Name as appears on conveyance document Seller -Name as appears on conveyance document 10382 E 350 S Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge a of ' true,correct iid corn. etc -s required by law,and is p cared in accordance with IC 6-1.1-5.5,"Real Property Sales sc sur ct". gSignature of seller Se/0 THE SALES DISCLOSURE FORM MM'RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION • © ❑ I.Will this property be the buyer's primary © ❑ 3.Iomestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 10382 E 350 S ❑ © 5.Wind Power Device Aare,.(Numb.,and Street) ❑ © 6.Hydroelectric Power Device Oakland City.IN 47660 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device Ciry.State ZIP Code County ❑ ❑ 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 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 Store() ///f/ �) Cy s:uaZIP Cole C'aun0 16 �- �. 19/ C/0‘ Primary property owner contact name E-mail