Homestead_SwinehartIFDIA�.I9ALE5 DISCLOSUHE FORJI SDF ID SDO ID 726720 ' N P I� Pa�e �
D. PREPARER `�
Emiry Smith CbsingAgent -
Preynrer nf the Sales Disdomrc Iro�m iitle
��5 S.E. MLK Jr., Blvd. Southwesiern Indiana Land Title Inc.
drnas (Num6er�nd Svee!) lompony
tvansville, IN 47713-
E. SELLER S GRANTOR S
Yctor L Grisham Vice-President Green Meadow Construction, Inc.
Seller ]� A'nn:e ns npy.nrs on conreynnte document Seller 2� Nnme as apymrv am m�re�ancz Axumeni
970 Huey Road
Address (Number nnd Srree�) AAdress (NUmber and5:reeq
Wadesville, IN 47638-
Cin'.5[nte. onALIPCOde Ciry, Smte. anA%lYCOde
812-457-6896
Tdcohonch5�m6cr E-mnil Tcic hmveNurnbv E-innil
Under penalties of perjury, I hereby cer[if}� that this Sales Disdosure, [o the best of my knowledge and belie(, is h�ue, cm�rect
an complese as •equi y�ed b�5� la�y, and i prejj77a[ed iqaccordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosw•e Act".
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F. 'TEE S- APPUCATION FOR PROPERTY TA� DEDUCTIONS- IDENTIFY ALL ITGMS THAT APPLY
Earlean Swi ehart
._ _ ,,. ,sontom�evmredxumrn[ Buyer2-Namensappmursomm�reranteJntument
110 Rock Road
d�dress (Num9er and Strerl) dCdrecs (NU+nber nnd Slreetf
Owensville, IN 47665-
E-mail Tele honeRwnbcr E-mail
THESALESDISCLOSUREFORMMdI'BEUSEDTOAPPLYFORCERTAIVOEOUCI'IONSFORTH . YTIF1 LLOFTHOSETHdTAPPLI'. .
YES \0 CONDITIOY I 1'FS \0 COVU 10\
X� � 1. INill [his proper[y be che buyer's primary �� x � 3. Ho c�
residence? Provide complete address of prima�y I r Lnergy Heating/Cooling System
residence, includin� county:
710 ROCK ROAD � 5. \Vind Poever Device
AdC�ess(Nmnberand5vc+t) ❑ Q 6. Hydroelectric Po�ver Device
Ov+ensville, IN a7665 GIBSON � � 7. Geothermal Energy Heating/Cooling Device
Ciry•. Smre ZIPCOde Counry
�� 2. Does the buyer have a homestead in Indiana �o be � � $� Is this property a residential ren[al property?
vacated fm� this residence? If yes, provide ❑ � `�� �'�'ould you like [o receive tax statemenu for this
complete address o( residence being vacated, property �•ia e-mail? (Provide contact information
i ncluding county: belaw. Plense see instructions/'or more information.
Not uvailable in nll counties.)
Address /Numuer aml5tree[)
�10-18 •6 b- 3a3-c� t .�1q oal
Ciry.Smrr ZfPCoAe Counry
Pnmury pmperp� o�mer conmct name E-muil
Under penalties of perjury, I hereb}' cer[ify [hat [his Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance �ritl� IC 6-11-5.5, "Real Property Sales Disclosure Act". (\o[e:
Spouse information, Social Securi[y and Driver's License/O[her numbers are not ne�essary if no Homestead DeAuction is
being (iledJ / ` .,I
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LastSdi,�iGSa(Bu}rrlDriver's Stace Last50i�i[su%SxialSecuriryNum6er Lat[Sdiyitso�Buyer2/SpouseDri�•er's State LastiDigicsu�5xialSecw�il}•
Lirense/ID/O[herh'um6er Num6er Litense/lD/O[herNumber