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Homestead_Stuckey (2) INDIANA SALES DISCLOSURE FORM SDP ID SDO ID 1809885 Page t D. PREPARER - Bryceann Cutsinger Prepares of the Sales Disclosure Form Title 226 W. Broadway Address(Number and Surer) Company Princeton, IN 47670- 812-386-1687 samantha.bti @mw.hvcbc.com City.Stare,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Tony R.Stuckey Seller I-Name os appears on conveyance document Seller 2•Nome us appears on conveyance document 8293 E.900 S. Address(Number and Street) Address(Number and Street) Elberfeld, IN 47613- 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 6-1.1-5.5,"Real Property Sales Disclosure Act". �ature Weller Signature of Seller O i iw - 4—.?S 02015 Primed N re.n(Sa"er Chin horn urumnnvvn Pri re4 PomenfcnllPr c-nn orrr,•off tun avvn F.BUYER(S)/GRANTEE(S)-APPL CATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Mitchell W. Stuckey Buyer 1-Name as appears on conveyance document Saver?-Nome as appears an conveyance document 5254 S.Washington St. Address(Number and Street) Address(Number and Street) g ---Uttr�� l� Oakland City,IN 47660- THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS TE {iAT APPLY. YES NO CONDITION YES NO CONDITION 9 ❑ 1.Will this property be the buyer's primary ® ❑ 3. Homestead f1 pp residence? Provide complete address of primary n ❑ 4.Solar E• g aC(l�l g/LoolingSy tem residence,including county: ❑ El 8293 E.900 S. 5.Wind Power Device Address(Number and Street) ❑ © 6. Hydroelectric Power Device Elberfeld, IN 47613 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County © ❑ 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 ❑ © 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. 5254 S.WASHINGTON ST. Not available in all counties.) Address(Number and Street) Oakland City,IN 47660 GIBSON a6-aO aB a00_00o ' L p-col City.Stare ZIP Code County Primary property owner contact name E-vauil