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Homestead_Decker (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. PREPARER,-' 1 • Bryceann Cutsinger Preparer óJ the Sales Disclosure Form Title 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 bryceann.btiemw.twcbc.com City.State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - Susan Woods Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7932 W SR 165 Address(Number and Street) Address(Number and Street) 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 1,1.0&C\Woo clS Signature of Seller Signature of Seller Susan Woods %--t (1 . Printed Name of Seller Sion Date INM/DD/YYYY) Printed Name of Seller Sian Date IMM/DD/YYYY1 p: UYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS,-IDENTIFY ALLITEMS THAT APPLY- - - - - Zachery Decker Zachary Garrett Buyer I-Name as appears on conveyance document Buyer Z-Name as a y ppeors on conveyance document Address Walnut and 510 Address Walnut and FILED Address(A'umber and S[ree:) Address(A'umber and Street) Robinson, IL 62454 THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA' •PPLY. YES NO CONDITION I YES NO CONDITION I • WM/4 0 ❑ 1.Will this property be the buyer's primary IZ1 ❑ 3. Homestead JNTY AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence, including county: ❑ IN 5.Wind Power Device 5985 W 300 S Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ Q 7. Geothermal Energy Heating/Cooling Device City State ZIP Code County ❑ 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 ❑ E 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) M City;Stare ZIP Code County a6_ II -3D - !o- wo. auo-oa I P