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Homestead_Cavins INDIANA SALES DISCLOSURE FORM SOF ID SDO In 1826169 • Page 2•:D6P,REPARERMr. ,Y� tY"'` .. ` ^"!; .' ? 4 - ._.n^n` ‘n , -4.5Z CARLA WALTMAN ESCROW CLOSER Preprrer of the Sales Dunmore Farm Tide 331 FRANKLIN ST TITLE CENTER OF INDIANA — Addrea(h'umber and Street) - Compom COLUMBUS,IN 47201- 812-372-1170 ©TITLECENTEROFINDIANA.COM City,Stott,rind ZIP code Telephone Number £-atoll 11E',SEDER S ' GRANTORS i&L&WWf.....:ir ar ;;FA WW1K-'.g tee- vt'5711:— n 1h1}te a ra 71 -sa'.•w TIFFANY R PEACH Seller I Name os oppean on conveyance document Seller 2-Nome as uppeon an con veyence document 701 E HAUB STREET Address(Number mid Street) Address(Number mid Street) Under penalties of perjury,I hereby certify'that this Sales Disclosure,to the best of my knowledge and belief,is true,correct avid complete as required by law,and is prepared In accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". $i ft14({I,. Signature op-Seller Sicaucure c/SeVer PNmrd Nnm nl4nr Oar•Mr en Rrvn Prin•edNar nr011 er cr„ amm�vvn FSBUYER(S)`/GRANTEE(S)=.APPLICATION'FOR'PROPERTY.TAXIDEDUCTIONS21DENTIEYALL!TEMS:THATAP.PCY_44: i' DENNEY E CAVINS yn U•ryerlName as appear)an rnnvryimre document aayrr7h'nme at oplxar on ronvun v On en �1�11 2947 W COUNTY RD 125 S Add,ns(h'Innber and Street) Andress(Number end Sreec) 8 PETERSBURG,IN 47567- SEP S 2016 THE SALES DISCLOSUREFOn,M MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFT'QiglSO NAGOUMTY AUDITOR YES NO CONDITION YES NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence, including county: ❑ © ;,Wind Power Device 701 E HAUB STREET Address(Number and Street) ❑ ❑ 6. Hydroelectric Power Device HAUBSTADT.IN 47639 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State Z/P Code Comity ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ B. Is this property a residential rental property? 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 c and Street) 1�Jr ///�1•}� / -31-110D-O� Cary.State ZIP Code Cuero), `"9N' E. `�" t// VVV Printery property mo contact name £-matt •