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Homestead_Bruce (16) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER' J.1 ._z3 E __t Bryceann Cutsincier Preparer of the Sales Disclosure Form Tide 226 W.Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton,IN 47670 812-386-1687 btiemw.twcbc.com City,State.and ZIP Code Telephone Number Email E.SELLER(5)/GRANTOR(S) _ Jerry W Bruce Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document .ter!-2 at;-5-9 5. 1,250 Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". f G7• JCS f wCJL t na Seller / Signature of Seller Jerry W Bruce 9". Printed Name ofSeller Sian Date(MM/DD/YYYYI Printed Name ofSeller Sian Date(MM/DOMTY1 F.BUYERISVGPANTEE(S).,APPL1OTION.FOR PROPERTY TAX DEDUCTIONS2:1DENTIFIALLITEMSTHAT APPLY"' ' ,- .. . , .. Joshua Buyer 1-Name Bruce a ttttttjjrrrr''''''''''''''''''���111 gg D ]-Name as appears on conveyance document Buyer as appears on cance�u ent 12367 E. 200 S. Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 ecp 19 NiB THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF]'Hgo !CITY AUDITOR YES NO CONDITION YES NO CONDITION flit�I CC JJ VV ❑ 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: ❑ ❑ 12367E 200 S 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 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 ❑ 171 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) r a, - 14-Iq- 1400 - 001. 30 -004 City State ZIP Code County Primary property owner contact name E-mail