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Homestead_Blye
INDIANA SALES DISCLOSURE FORM SDI"ID SDO ID 1808309 I' ,e2 D.PREPARER STEPHANIE MILLER CLOSER Peeper of the Soles Disclosure Form Title 4962 LINCOLN AVE FIRST ADVANTAGE TITLE Address plumber and Street) Company EVANSVILLE, IN 47715- 812-490-8485 Y @FIRSTADVANTAGETITLE.CC' City,State,and ZIP Code Telephone Number &,—nod E.SELLER(S)/GRANTORIS1 CHARLOTTE A LANGFORD Seller I-Name as appears on conveyance document Seller 2-,Name as appears on conveyance document 6531 SE 55 ST Address(Number and Street) Address(Number and Street) OKEECHOBEE,FL 34974- ! Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cot lete as require y law,a is pared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act", CL..‘ re : \ , sr_ ;yin cure of Seller Signature o/:Seller e..1VW' Otte__ N- .5 , 5/ 14 12014 _ nr:n.M°rt—r orrelhv C7 R•'n M.eIVdmp Olnl Pb,ernrne_n/Srllr. 9yy1'mr..nv•py..:r: _ F.BUYER(SVGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APISi, G, MARSHA BLYE �ef �� Soya I-Name as appear,on conveyance document Bayer 2-Name us appears on co Joe yq(�-.��;2J+ 804 S HART STREET APT _� _gOd9,_ • Address(Number and Street) Address(Number and SCCe) „ - 1LJc�� d - PRINCETON,IN 47670- ce'/ �� _ -I COUNTY A •ITOrR_--;;°- e� YES NO CONDITION YES NO CONUITI \ © n 1.Will this property be the buyer's primary ® 3.homestead - SCI °� residence? Provide complete address of primary ❑ © 4.Solar Energy Ileating/Cooling Systeilt g% residence,including county: 5Q0 Uve51 GI _ kttc ❑ © 5.Wind Power Device AddLcss(6umbeeaM Street) ❑ © 6.Hydroelectric Power Device -11'!^jj - . '�I t`1l :'1.0 LE ❑ in 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code Canty ❑ f] 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 informotior including county: below.Please see instructions for more informatio I. Not available in all counties.) Address(Number and Street) �j/�y� City.Seine ZIP Code _ _ _ __ - _-- -County �W-//-O/ -�/ C,--C.-•CleQ 29 dal Prinmry property owner contact none E.mu