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Homestead_Cochren (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREPARER. - Samantha L. Cutsinaer 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(amw.twcbc.com City,State,and ZIP Code Telephone Number E-mail IE.SELLER(S)/GRANTOR(S) • • • - - John W Truitt by 1 owell Truitt POA Joyce L Truitt by 1 owell Truitt POA Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 811 N Highland Ave 811 N Highland Ave Address(Number and Street) Address(Number and Street) Oakland City IN 47660 Oakland City IN 47660 Under penalties of perjury,l 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 •repa ed in accordance with IC 6-1.1-5.5," eal Property ales Disclosure Act". 1-.4...v �A,� b/ .....: •© . , � I Eby _ . Signature of Seller �/6 //S Signa re of Seller IowellTniitt Attorney in Fact • , - I .1 :I•u- 'I • a Printed Name of Seller Sign Date(M.M/DD/YYYY) Printed Name of Seller g ��n •ate .it/DD/YYI) T.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS 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 COND I I, IA 1.Will this property be the buyer's primary gi ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device 811 N Highland Ave Address(Number and Street) ❑ [ 6. Hydroelectric Power Device Oakland City, IN 47660 ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 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 ❑ I 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. 231 N. Gibson St. Not available in all counties.) Address(Number and Street) Oakland City, IN 47660 Gibson ,/•(o — /t/ -1, _ to 57- O O /. d 0 9 -O 6 7 City,State ZIP Code County Primary property owner contact name E-mail