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Homestead_Deal (7)
N 1 If INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 712387 Page 2 D.PREPARER Samantha Cutsinger Preparer ofthe Sales Disclosure Form Title 1 226 W. Broadvmy Broadway Title, Inc. Address(Namh, and Street) Company Princeton, IN 47670- E. SELLERS GRANTOR S Daniel C Georges Miranda D Georges Seller 1 A'ame urappean on mnveynnce Jot.,mem Se11er2 Name os appears on oonnvance dw'vment 6733 W 450 S 6733 W 450 S Address (Number and Street) Address (Number and S: t e[) Oviensville, IN 47665 - Owensville, IN 47665 - Gry, Slate, and ZIP Code Small Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct d complet as eq 'red by law, and is reared 1 cca dance with IC 6- 1.1 -5.5, "RBI Prop rty s D closure Act ". Q 1( Paw �� .immure Lseller / Signvmre oJSrller /1 - C,QC}r G 'rae 7 ✓ Q I F. BUYER(S)/G EE S - APPLICATION FOR PROPERTY T CTIONS- TIFY ALL ITEMS THAT APPLY Justin Deal Amy L Deal Buyerl -Na + ppaars an ronvevance document aver 2 -Nam evrs an cnnvrvnnae dorument S. Main St. 402 S. Main St. Address (Number and Street) Address (,Number and Street) Owensville, IN 47665 Owensville, IN 47665 - Ca) % State. and ZIP Code City. State. and ZIP Code � / ' YA / E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating /Cooling System residence, including county: ❑ © S. Wind Power Device 6733 W a50 S ❑ © 6. Hydroelectric Power Device A ddrees(Norther and Street) Owensville, IN 47665 GIBSON ❑ © 7, Geothermal Energy Heating /Cooling Device ❑ © B. Is this property a residential rental property? ent" State ZIP Code Counry ❑ C] 2. Does the buyer have homestead in Indiana to be a 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 andbtreez) City, State ZIP Code Counry Primary pmperry owner aormrt name E oil 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 -S.5, "Real Property Sales Disclosure Act". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is b(e} filed.) Si nanrre o(duyerl Sianamre ofeuyer2 po se uSYI�I ZPVV Z C3 130/2ollt atn,-�, ez\ d3�3c�,51�11 Printed LUega7hVame aJ Buyer I Sqn Date al."IDD/YlWi Security License /ID /Other Number Number License /lD /Other Number