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Homestead_Smith (3) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1817451 Paget D.PREPARER William H.Bender Attorney at Law Preparer of the Sales Disclosure Form Tide 17 West Main Street P.O.Box 430 BENDER LAW,LLC Address(Number and Street) Company Poseyville,IN 47633- E-mail E.SELLER(S)/GRANTOR(S) Richard J.Smith Co-Executor of the Frances J.Sweezer Estate Janet Lynn Smith Co-Executor of the Frances J.Sweezer Estate Seller l-Name as appears on conveyance document Seller 2•Name as appears on conveyance document 518 Walnut Street 424 East Walnut Street P.O.Box 566 Address(Number and Street) Address(Number and Street) Rockport,IN 47635- Owensville,IN 47665- Under 'enalties of pe 'ury,I her ly certify th t this Sales Disclosure,to the best of my knowledge and belief,is true,correct an. o 'let: as req/e. 'y la F.nd is pre r:red in accordance with IC 6-1.1-5.5,"Real Property Sales Di closure Act". - ._ - I � . . . Si of Se , ' • Signawr Zeller - n 7 F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPER Y TAX DEDUCTIONS-IDENTIFY ALL ITEMS THATAPPLY Janet Lynn Smith Buyer r]-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 424 East Walnut Street P.O.Box 566 Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THPF IA lO0 YES NO CONDITION YES NO CONDITION en, © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead Tyq residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System "4/- residence,including county: 06, ❑ © 424 EAST WALNUT STREET 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Owensville,IN 47665 NOT APPLICABLE ❑ © 7.Geothermal Energy Heating/Cooling Device liry,State ZIPCode County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ © 8.1s 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. Not available in all counties.) Address(Number and Street) / �o/gD_/arD - o40, z D O''.j el J City,State ZIP Code County Primary property owner contact name E-mail