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Homestead_Banks INDIANA SALES DISCLOSURE FORM SDF ID: F 111- P D Page 2 D.PREPARER J.. it 2.—I.1.-1 Bryceann Cutsinger FEB 2 � ZO�� Preparer of the Sales Disclosure Form Title 226 W.Broadway St. Broadway Title. Inc. Address(Number and Street) Company ' _I �i Princeton. IN 47670 I �� 11 812-386-1687 bti(r•..�.,Mht�• . City,State.and ZIP node Telephone Number - 111 01 ' • 111 111 - E-mail E.SELLER(S)/GRANTOR(S) - . Franklin L BPnn,ng+on Sandra K Bennington Seller l Name as appears on conveyance document Seller2-Name as appears on conveyance document 10804 F 124 S 10804 F 125 5 Address(Number and Street) Address(Number and Street) Oakland Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complleetjaas required by law,and is prepared in accordance wit SIC 6-1.1-5.5,"Real Property Sales Di closure Act". Signature al e� Signature al Seller i Ot Franklin L Bennington 7 o 1:7 $ands K Benninoton Panted Name Of .ion Dutel D6a/aa/1'n1) Panted Name of Seller Sian Date(M.4/aa/YYYY) F.BUYER(S)/GRANTEE S -APPLICATION FOR PROPERTY TAX THE SALES DISCLOSURE FORM MAY BE USED To APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property he the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence, including county: ❑ p 5.Wind Power Device 10804 F 125 S Address(Number and Street) ❑ Q 6. I lydroelectric Power Device Oakland City. IN 47640 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? Ifyes, 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) a.L -13-(3 -3C-.)b-60( .o(a-aoco e".Mare ZIP,ade County Primary property owner contact name E-mail