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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER" - . _ •
Bryceann Cutsinoer
Preparer of the Sales Disclosure Form Tide
226 W. Broadway St. Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 samantha.bti(tilmw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) .
I inch G Marley
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
314 S Washington St
Address(Number and Street) Address(Number and Street)
Huntingburg IN 47542
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and .mpletees requir- a I. law,and is p epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
a,;es. t i�� i �, I
Signatw-of Seller / ' 2 7 Signature of Seller
I inda C rl
Maey a o�
Printed Name o/Seller Si nDate(MM D/YYY1) Printed Name of Seller Si, ej /YYYYI •
F.BUYER(S)[GRANTEE(S)-APPLICATION FOR-PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT-APPLY
arry • -
W.Fambrou.EE) Tanya J. Fambrough FEB 24 2016
--8IIj73y-4' -,.raepEi5rs on conveyance document Buyer 2-Name as appears on conveyance document
982 S. 1225 E. 982 S. 1225 E. •
Address(Number and Street) Addressa(Number and Sweet)IN ON COUNTY AUDITOR
Oakland City, IN 47660 Oaklnd City, IN 4fb
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NI INDITION
Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ n s. , • _ - •eating/Cooling System
residence,including county:
322E Harrison St ❑ IN 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Oakland City. IN 47660 Gibson ❑ Z 7.Geothermal Energy Heating/Cooling Device
City.State ZIPCode County
❑ Q 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 ❑ Eij 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 coun e .
Address(Number and Street)
R6 -/y-/f- `fa/ -oo /. / 70 -007 ■
City,State ZIP Code Cou ,
w.ma,a rty owner contact name mail