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Homestead_Aydt (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D..PREPARER.. -- - - - = - - ------ ---- KAREN R HARBISON VP Preporer of the Sales Disclosure Form Tide 803 E STATE HWY 68 HAUBSTADT STATE BANK Address(Number and Street) Company HAUBSTADT IN 47639 8127685800 kharbisoneesbanc.com City,State,and ZIP Code Telephone Number E-mail E.SELI6R(S)/GRANTOR(S) _ _ _ - —_—�-. _-- - — JFRFMY P AYDT Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 705 F FDINROROUGH CT Address(Number and Sweet) Address(Number and Street) HAURSTADT IN 47639 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c• -- a lete . required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". i of / Signature of Seller ® 2 ./ -- MY P •• DT 07/10/2015 Aq Panted Name ofSeller Sian Date fwu/DIVYYYY) Printed Name of Seller Sian Date(KM/m/MVI F.BUYER(S)/GRANTEE(S)t APPLICATION FOR.PROPERTYL TAX'DEDUCTIONS=IDENTIFYALL.ITEMS-7,Ij'AT P: - 3'a� g�15--- < __ JEREMY P AYDT DENISE R AYDT Buyer! Name at appears on conveyance document Buyer 2-Name as appears on conveyance doI era t 705 E EDINBOROUGH CT 705 E EDINBOROUGH CT Address(Number and Street) Address(Number and Street) c.ildSON COUNTY AUDITOR HAUBSTADT IN 47639 HAUBSTADT IN 47639 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER ' -- • YES NO CONDITION ∎•� t ,� [f ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primar• ❑ © 4.Sol. • - eating/Cooling System residence,including county: NI 703 E EDINBOROUGH CT 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device HAUBSTADT IN 47639 GIBSON ❑ 0 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 ❑ 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. /1 Not available in all counties.) Address(Number and Sweet) ( I (r-- I(� 1 //p.,� �O 7/ ^ ,^C9 City State ZIP Code County flJ-J�` �..qVS ^I/'l//C/V ) /I`n7,_Jl./I Primary property owner contact name E-mail