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Homestead_Sumner
_ a . . a INDIANA SALES DISCLOSURE FORM SDP ID: Page 2 D.P.REPARER a '• RITA PURDUE CLOSER Preparer of the Sala Disclosure Form Title 9801 LEGLER ROAD NATIONS TITLE AGENCY INC Address(Number and Street) Company LENEXA KS 66219 877 256 4117 City.State.and ZIP Code Telephone Number E-mail E.SELLER(S)%GRANTOR(S) (c)b7 `?E'• \ C .N 5Th.- 7-ff.it `,b "+s :'-.-. BRAIN I TERRY ANGIE D SUMNER AND DANIEL R TERRY Seller I-Name as appears on conveyance document Seller 2-Name os appears on conveyance document it 3o v.l.,e, lip 1z 2(3/) vi-tp it 4d/2 Address(Number and Street) Address(Number and Street) er•v /k I1/2 `('7670 /9r/)o(c In . r'v (7767o , Under •enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and .•lief,is true,correct and i i plete.s re• ired by I. • :nd is prepared In accordance w' IC 6-1.1-5.5,"Real Pro.• - Sale. D.sclos/e Act". X I /0-n-' _ "-- Sign.Dire of Seller Mr Signature a eller r - DRAIN 1 TERRY ANGIE D SUMNFR AND DANIEL R TERRY /0',Vint Printed Name of Seller Sian Date(MM/DD(YYY1) Printed Name of Seller Sign Date(MM/DD F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX.DEDUCTI ONS-IDENTIFY ALL-ITEMS THAT1APPLY ZACHARIAH SUMNER CHRISTINA SUMNER Buyer I-Name as appeals an conveyance document Buyer 2-Nome as appears on conveyance document X 2--7 S Cformn,>f St S22 S S ter,p, nil+ s t Address(Number and Street) Address(Number and Street) prin,r '(a,n . IN tiX2o er.'nte -l-do , IN VTR 70 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Hin/Ineg System residence,including county: ❑ 0 S.Wind Power Device Nov 12•2014 Address(Number and Street) ❑ Q 6.Hydroelectric Power bievice ❑ 0 7.Geothermal Energy He•i ng/Co. ' ,ifevice Guy.State ZIP Code County it, g9Fh• ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a resi.N coo' •�? a�gt vacated for this residence? If yes,provide ❑ 171 9.Would you lik4t alve-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) rQe—ia-I -a O a-o0 t 85 9 I^n City,State ZIP Code County Primary property owner contact name E-mail