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Homestead_Ott INDIANA SALES DISCLOSURE:FORM SDI:ID SDO ID 1798862 Paget D.PREPARER Samantha Cutsinger Prepare,-of the Sates Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Cornpanr Princeton,IN 47670- 812-386-1687 samantha.bti @mw.iwcbc.com City.State,and ZIP Code Telephone 9umher E-mail E.SELLERS)/GRANTOR(S) Chad I Pfohl Jennifer M Pfohl Seller I-Name as appears on mm:emote document .Seller 2-Nome us uppmn-on conveyance document 5258 S 775 W 5258 S 775 W Address(Number and Street) Address(Number and Street) Owensville,IN 47665- Owensville,IN 47665- 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 b 'la and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ��� m .SI9na:urt•u(Seger tu . e o(.eller r C—ioAa / 0-3- 4- nn; H Pi—ft— 10-3-/¢- Pm.,,I AL.. ,..t.,LnD.,•• ' t:.._rv.,.. -v r--..-l' ,r o-n.r e:_,n..•,..,...,•.",,.,�.,, F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Lauren Wheatley Clint D. Ott Bared Name a,appears on mm n'anrr document Buyer?-Name as appears on canveyan.e ducument 304 S Mill St. 304 S.Mill St. Address(Number and Street) Address(.NUmber and Street) Pit Owensville,IN 47665- Owensville,IN 47665- THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT nAPPLY.n// 4 YES NO CONDITION YES NO CONDITION G/O.Q.. .- • 77 © ❑ I.Will this property be the buyer's primary © ❑ 3. Homestead N CO(0 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Sist'eur residence,including county: ❑ © 5.Wind Power Device (ip7).. 5258 S 775 W Op Address(.Number and.Stream) ❑ © 6.Hydroelectric Power Device Owensville,IN 47665 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device Ory,State ZIP Code County ❑ © 8.Is this property a residential rental property? ❑ ❑ 2. Does the buyer have a homestead in Indiana to he 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.) (; Addren Umber and Street) City.Stare ZIP Code County _a b-12 -0 - Lao-DOH 3sb Primary property owner contort name E-mail