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Homestead_Hutchinson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER .i. . ' Samantha Cutsinger Preparer of the Sales Disclosure Form Tide 226 W.Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 samantha.bti @mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E:SELLERN/GRANTOR(S) ' _ Mitchell W Stuckey Fmily M Stuckey Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5754 S Washington St 5254 S Washington St Address(Number and Street) Address(Number and Street) Oakland City IN 47660 Oakland City IN 47660 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 equired by law,and is prepared in accordance with 6-1.1-5.5,"Real Pro rty Sales Disclosure Act". � � 1.(LALel ( IZ/V Signature of Seller Signature of Seller Mitchell W Stuckey 06/016/20/5- Emily M Stuckey CYO/zo/70/6 Printed Name of Seller Sian Date(MM,bD/YYYY) Printed Name of Seller Sian Dok(MM/D /YYYYI F.BUYER(S)/GRANTEE(S):APPLICATION FOR PROPERTY•TAX DEDUCTIONS-:IDENTIFY ALL ITEMS THAT APPLY • _ - -:- - Brick R. Hutchinson Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 10211E575S Address(Number and Street) Address(Number and Street) �� Oakland City, IN 47660 ,/�-- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT AP YES NO CONDITION YES NO CONDITION OhTiq I0 ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead OOi7.0 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System R residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device City,State ZIP Code County 171 7.Geothermal Energy Heating/Cooling Device ❑ 0 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 ❑ 0 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 and Street) ��—ao -oa- 03. deck o63_ and City,State ZIP Code County Primary property owner contact name E-mail