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Homestead_Dersch
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ,c b (h eck s broke z Ou,.op,z Preparer of the Sales Disclosure Form Title T� 707 5, M C 4,ti ,4 /4 ecAs I'S e:P/f y Address be,and Street) Company t/tee foft" t 5'7670 702 5, /17.4/iv Sf, / .eteir//X City,State,and ZIP Code / Telephone Number E-mail S1742b t_ — v 0/2-O611-026:90 fE6SECLER(S %GRANTOR(S _' 7-777-__::::2---__-_-_-_- --7 .- _ _ ' —_ — -._ h -- -- _ Robeef A. hleek5 --riliez •17, 144ee-/cs Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 87co5 6 . .,25-03. S74,5 e. .?WS, Address' Numb d Street) Address(Number and Street) gkiA ct Wilder penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct :and • - - ;..s•• •• required by law,and is prepared in accordance with IC Real P pe Sales Disclosure Act". --glie:...:-_ire .• / ,/'- --a- Sig arum opener Signature of Seller Is7obeei 4. 1 ks r- z-/ ... _ec pr /ee,Es 3-2-7 Printed Name of Seller Sign Date(MM/OD/YYYI) Printed Name of Seller Sin Date N D .g ( M/D /Intl `F:BUYERjSf/GRANTEE(S)'uAPBGIGATION,fOR•PROPERTY TAX DEDUCTIONS=IDENTIFY.ACL ITEMSITHATiAPPL'Y_t __ r _ Hess ' : . _ e A He/eN C. ,1 ,th Buyer I-Name as•ppears an conveyance document Buyer 2-Name as appears on conveyance document (5-3/ 6 , C,)l urn.f14 St 5.31 C, CnluslfbiA 5t, Add (Number and Se, t) Address(Number and Street) OAkkw f 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 NO CONDITION Z ❑ 1.Will this property be the buyer's primary YES Homestead GIBBON COUNTp OR residence? Provide complete address of primary • residence,including county: ❑ Solar Energy Hea -'Si - stem .j.i C, COIU PYI yid- . t, ❑ ind Pow- P-vice I- . Address(Number andSaeet) ❑ ydroele.tri, P,g --• De i j ©A-{{/4/2Dc1T7 X/t *7 G,k6a.0 • ❑ Geotherma ergy Heating/Cooling Ievic- Ciry,State ZIP C 0 County ❑ Does the buyer have a homestead in Indiana to be ❑ Is this property a re - .roperty? 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) l� ) 8— g0 3_ Doss 745-O7 _yAIJesch City State ZIP Code County Primary property owner contact name E-mail