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Homestead_Dix
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREPARER . Bryceann Cutsincier Preporer of the Sales Disclosure Form Title 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 bryceann.bti(aamw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S)- , Monte J Wilson Emma I Wilson Seller I-Name as appears on conveyance document Seller 2•Name ds appears on conveyance document 6723 W 400 S 6723 W 400 S 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 . • . complete as re. .' ed by law,and is prepared in accordance with IC 6-1.1-5.5, "Re. ' operty Sales Disclosure Act". 'I: . A.1 . . il -ea./ -A a- ,l.a 1 a . ..wi:se - ... 'D1.. - 'gnature ofSeller ' • ure of Seller ( i / Monte J Wilson 1 – 1– ' 1 Emma L Wilson 1 —1 1 4 1 Printed Nome ofSeller Sian Date(MM/Da/YYYY) Printed Name of Seller Sian Dote(SW/DO/MY) F:BUYER(S)/GRANTEE(S)-APPLICATION FOR•PROPERTYtTAX DEDUCTIONS=IDENTIF.Y,ALL'ITEMS.THATAPP _Justin A. Dix s _ I - .! - Buyer I-Name as appears on conveyance document Buyer 2-Name as appear'on conveyance document 429E. 790S. 429 E 790 S Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. qO - YES NO CONDITION YES NO CONDITION ONTO ill VI ❑ 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 count}': ❑ jg 5.Wind Power Device •6723 W 400 S Address(Number and Street) ❑ E 6. Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County � ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property? vacated for this residence? If yes,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. 429 E. 790 S. Not available in all counties.) Address(Number and Street) Ft. Branch, IN 47648 Gibson oZ-/O-,,_5 - /Q/- coo. 6-1 frz-QQ/ City,State ZIP Code County Primary property owner contact name E-mail