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Homestead_Cox (11) a nP n I a ) " Tau CF i i r l'i� 7 '4r P. '.4, £ i .o, M l"I' r `r= Ke: :I 7d,�, 01111; 1�.4 fl�PN�lol,i � �uUl�',n, h�i,r IIM nil.,��,!&: .x, u?",11?>,11,' . �,' . Bra' , . .ir �, tv- Penny S.Tracey CVO Prezrerofthe Sales Disdor+re Form nde 54 N 9th Street Ste 270 New Hope Title Address(Number and Sae) Company Noblesville. IN.46060 317-219-3316 City,State,and ZIP Code Telephone Number E-mail .ar G NrL• }g$ a �� "raj t n'1gi E I IIP , I t: 'TESTA n Y dM: 1 .ll t 'biE �hisl ,i I; , .3t e , y. °• Tiffany 0^EPnraas r mt-CA^ sS —IT' Robert W Camitess ice9,v//ea s 2M Seller I-Name as appers on conveyance doere t Seller 2-Name as appears on conveyance document face-) • e Tex-I l ow rl -T4c (0g6 7 r_ /—„-Fta wN /el '���tddres(Number and Street) ( ! A,dd1tea(Number end Sleet) ter' -s 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 by t/law, prepared in accordance • -1.1-5.5,"Rea operty Sales Disclosure Act". re Signe-re S l Signore ofSeler �,/ / Tiffany D tnndtess CP,—a 5 ---1\-*/ 2/2/2016 Robert W Caadless. nil miss le-- 2/2/2016 Dote MN D� Printed Name a Seller • Date MM •OLum ;1,4 r fil; r r ';;,t' tp„ Et o'Na..z'•at, + ', ',kW..Grt0at14„` Sat.. C. r0 jfl4 .F `''-. i'dN r, ": Primed Aomeo'Ed1�;r ._ ' n . ._. John C. Cox tl Kendra Co cL Buyer 1-Name as appears on conveyance document Buyer -Name as appaars on conveyance document VII S . \ cw\ sp_cri nn NM\ RA . \Gu2 3 . UDW ?csinc I-1,1k1 It r1 Address(Number and Sae) ) Address(Number and Street) 00..kinne} C._‘..c.....1 , itiv - \-1is\_rl_� C a.V... \o,,.� C;t..� n-•• `-1-llrcc0 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APP S . ,�� YES NO CONDmON I YES NO CONDITION 171- 0 1.Will this property be the buyer's primary 7 ❑ 3.Homestead FEB 9 2016 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System _ residence,including county: n , ❑ ❑j 5-Wind Power Device �� Address(Number aM5ireet) ❑ C✓i 6.Hydroelectric Power®l§ COUNTY AUDITOR QG ,nA Q t&5 ,1ti • `A`ltela-U GADS on ❑ i71 7.Geothermal Energy Heating/Cooling Device City;State ZIP Code County ❑ 2/I 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 ❑ Z 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 iinnp all l coon ties.) ��J Address(Numberend Street) a(0-13-‘93-01-COL 01-I OL 01a G0ce City,State ZIP Code County IIXX E-mail Primary properly owner connote name