Homestead_Mayer INDIANA SALES DISCLOSURE FORM SDF ID: Paget
-DiPREPARERi^w�4s..e?ZP'4r";t7a . -s .. _r_m.-tr s2■.,.. x. - t nt ??...,:tA -::-'—t`.°'.r2:
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Briceann Gulsinger _
Prepared ofMeSales Disclosure Farm We
226 W Broadway St Broadway Title Inc.
Address(Number and Street) Canparry
Princeton,IN 47670 812-386-1687
curt state.and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S):= 7 t-, s-' : ;? "° - '-- . -,,- .. ,:.. ?:.:3
QPorge Ridtard Fnperson Margaret Moira Fnnerson
Seller I-Name as appears=tame teace document Seger 2-Nome as appears on'aou9mnee document
14943 Hnnkinc Cnurt 14943 Hnnkinc Cnnrt
Addrea(Number and Sant) Mdem(Number and Street)
ldand Park II FO4fi2 Orland Park IL 6(1462
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Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required b�y(jlaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales D•is�closureLy�t
s =tare qs r. v� =rna ysen<r1 ' ( •.
&eorye Rce112s01 ��pevs 4Loll, 1171 TRff er pal rt r+ �v 1_ A5a nab hal
Printed Name o(SAer Son Dote otRiDO/errn Printed Nam a(S.*/ Shin ei Nllmin
FiBUYER(S)/GRANTEE(5)'AAPPLICATION-FOR'PROPERTY•TAX DEDUCTIONS-IDENTIFYALL°ITEMS,THAT APPLYne:=-:&; te.,:-
Bradley M M.yer Whitnev L.Mayer
Byer 1-Name cis cope are=eenveycsredocument any.,2-Nc me as oppasrs an conveyance document
307 E Locust St 307 E Locust Si
Address(Number and Stmt) Address(Number and Street)
Fort Branch IN 47648
DISCLOSURE DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THO A¢LY�
YES NO CONDmON I YES NO CoNomoN tBpyGglg
0 ❑ I.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ IA 4.Solar Energy Heating/Coolin Syst C
residence,including county: l0
8852 S 100 W ❑ S.Wind Power Device FEB rCD
Mdrm(Number and Street) ❑ 0 6.Hydroelectric Power Device
Fort Or storm nn Code 47648 Gibson ❑ 0 7.Geothermal Energy He g/GOOI'ar t...ce
County ❑ 0 8.Is this property a rest e- 4"'
1 2.Dcated for haves homestead in Indiana to be ❑ 0 you ��� 11M ant or this
vacated for this residence? If yes,provide 9.Would ou li state ants or this
complete address of residence being vacated, property via e-mail?(Provide contact information
including cgnnty:: below.Please see instructions for more COOi.n
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Oay.State Made / a aname o_1ti�C^/Vv�l
Primary property a.o.v mama=me E-mail
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