Homestead_SardesonINDIANA SALES DISCLOSURE FORM
Christina Ferguson
,rparer oJ[he Saler Dirlasure Form
� 1 W. Hwy 66
Addrecs (Num6er and Svee[J
Newburgh,IN 47630
liry, Stare, andZlPCOde
Dickie Smith
Seller I� Name as appears om m�veyance dxumenr
8794 South 1125 W.
AdCrev (Number ond Saee�)
Ownesville, IN 47665
Ciry, 5wtt, and Z/P [ode
certify [ha[ [his Sales Disclosure, [o [he best of my knowledge and belief, is [rue, correct
and cory�¢(e,te as required by layyand is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
r. ovi cn�o���cwn i�c�a� —nrra.wn� �viv c�n vcv�i, ��vn� n�v
o ert'R'SarUeson�
Bvyer 1- Nome os appmrs on ronveyance do[vmm[
8794 South 1125 W.
Addrea�Nomberand5bee[J
��nsville. IN 47665
Signamrc o/Seller
Buyer 1� Name os uppnrs on ronvryanre dacumm[
Addrrs (Number and Sverr)
Ciry.Smte. andZfPCode
TNE SALFS DISCLOSIIRE FORM MAY BE USED TO APPLY FOR CERTAIY UEDUC710N5 FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
� ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
CirySmreZlPCode " " \) ' ' ' Counry
❑'� 2. Does the buyer have a homes[ead to be vaca[ed for
this residence? If yes, provide complete address of
residence vacatlng, including county:
Address (Num6er ondStree[J
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3. Homestead
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device �
7. Geothermal Energy Heating/Cooling Device
Deductlons.
8. Is this property a residen[ial rental property?
Under penal[ies of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and.Eomplgte as required by law, and is prepared in accordance wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Ad".
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�6l�=/�=aG�33�� o�'/
Signa[vre o/Buyerl