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Homestead_Reed (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - Steven L.Whitehead Attorney Preparer of the Sales Disclosure Form Title 111 N. Had Street Address(Number and Street) Company Princeton, IN 47670 City,State and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Tim Chamberlain Mia Chamberlain Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5884 West 250 South 5884 West 250 South Address(Number and Street) Address(Number and Street) Owensville IN 47665 Owensville IN 47665 : 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 re d by w, d is prepared in accordance with IC 6-1. -S.S,"•eal 7 operty Sales Disclosure Act". ZvF. Signature of Seller - Sig ,tare of Seller Tim Chamberlain 3 -8"0 u - I-II•• . I Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller 'n tj 'I/DD/YYfJ F.BUYER(S)1GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE•e.. T 4 h •• ; ;�' 4tolton R Natalie Reed uyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docurR 9 LUIt I 2490 S.Old State Road 65 2490 S.Old State Road 65 Address(Number and Street) Address(Number and Street) /t Owensville, IN 47665 Owensville, IN 47665 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 D CSSDIT Y © ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary lll��� ❑ 12 4.Solar Energy Heating/Cooling System residence,including county: ❑ _J 37 3 W rites 5.Wind Power Device Address(Number and Street) / ❑ 0 6.Hydroelectric Power Device C.IaenSV'16 .2^r 1/764C G S'� ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZlPfode County ❑ ® 2.Does the buyer have a homestead in Indiana to be 111 8.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 counties.) Address(Number and Street) ) 4 - /! - .z 9 -foe - 003.g76„--off/ Ciry;State ZIP Cade County Primary property owner contact name E-mail