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Homestead_Steelman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - - - • Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart St Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton. IN 47670 812-386-0050 rrickerehok-law.com City.State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) , - - Bradley I Steelman Deborah I Steelman Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document PO Rnx 45 PO Box 45 Address(Number and Street) Address(Number and Street) 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/y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Selle 2 / Signature of Seller Bradley.1 Steelman fib- /- IS Deborah I Steelman /0- FIS Printed Name of Seller Sian Dare[MM/DO/YYYY) Printed Name of Seller Sign Date IMM/DD/YYYYI F.BUYERS)/GRANTEE(S)_APPLICATION FOR PROPERTY TAX THE.SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTIFY ALI.OF THOSE TIIAT APPLY. YES NO CONDITION I YES NO CONDITION -LF- 0 ❑ 1.Will this property be the buyer's primary I,J7 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling ystem-_ residence,including county: 2778 E Steelman Road ❑ ig 5.Wind Power Device OCT 2 2015 Address(Number and Street) ❑ lij 6. Hydroelectric Power Device Patoka. IN 47666 Gibson ❑ g 7.Geothermal Energy Heating/Coo' g Nevi - Otv.State ZIP code County I —SOW ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property�(��� . r. 9:..eery? •UNT vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statemed4Pacltis 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) City,State ZIP Code County, aG- OS S ti-©59-000.9116 D1� Primary property owner contact name E-mail