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Homestead_Hudson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Ale REPARER. Mitsn� i�5�-�``�'- �r���=n-���a_s''I'as:.�;f��7.27 ,M.. �'ns.s.3, 'k -- - trz:e��,'£.i ' Leon C:Stone Preparer of the Sale Disclosure Form Title 226 West Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670 (812)386-1687 City,State,and ZIP Code Telephone Number Email ESELI:ER(S)/GRAN IDk(S) Christnoher Buckler Anti Bu ler Seller I-Name as appen on conveyance document Seller 2-Name as appears on conveyance document 620 South Mohican Drive 620 South Mohican Drive Address(Number and Street) Address(Number and Street) Patoka IN 47666 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an m e s require y I hand}• prepared in accordance with I 6-1.1-5.e, "Real Property Sales Disclosure Act". ignature of Seller �/ ,gnature o{Sd'er / l Christopher Rudder 906 Ami Buckler tali I I`I4 Printed Name of Seller Sian Date IMM/DD/YYI'11 Printed Name ofSeller Sian to IMM/OD/YYY11 F:`BUYER(S)/GRANTEE(SITAP,PEIGATIDWEOR%P:COP.ERP6 TAX∎DEDUCTIONSZIDENTIF,Yt`AL•`L°ITE r r ,RLY`s Jenna Hudson Buyer l Name as appears on conveyance document Buyer 2.Name as appears on conveyance documen - 1779 East Heather Lane ) Address(Number and Street) Address(Number and Street) _ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY/100/7,0R YES NO CONDITION YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Ciry,smte ZlPCode coanty ❑ 0 7.Geothermal Energy Heating/Cooling Device ❑ 12 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 ❑ 0 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) °VC' CYY -02 5- Ajoto 000 518"5—Oc O Jenna Hudson City State ZIP Code County Primary property owner contact name E-mail