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Homestead_McDowell (3)
INDIANA SALES DISCLOSURE FORM SDF ID: • Page 2 Stacy C Tevault Mortgage Loan Specialist Preparer of the Sales Disclosure Form Title • PO Box-126 • LNB Community Bank Address(Number and Street) Company • Lynnville, IN 47619 • 812-922-3231 stevaultelnbcorp.com City,State.and ZIP Cade Telephone Number E-mail -----_.. ...:.:_ t _ Three T Properties I LC - Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 12322 Kiddie Lane 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 anP - '- as reed by-1.w and is prepared in accordance wit t IC 6.1.1-5.5,"Real Property Sales Disclosure Act". .� ,( ,�� . . i� , 'L.J - , , _& 1 ler - �-lA'- Signature a/Se '� -0 Printed. e of Seger Sian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) ;f:.BUYER(S)%GRAN:• ABPLIGATION,FOR!P,ROPERTY+TAX,DEDUCTIONS=I DENTIFY(ALL ITEMS3HAT AP,PLYT?- - Charles L McDowell Jessica J McDowell Buyer I=Name as appears on conveyance document Buyer 2-Name as appeals on conveyance document /- 11267 E SR 64 - 11267 E SR 64 Address(Number and Street) Address(Number and Street) Oakland THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.-IDENTIFY ALL OF THOSE T QTnrrLl'- ( pU�YES NO CONDITION I YES NO CONDITION n/fy 0 ❑ 1:Will this property be the buyer's primary 0 ❑ 3.Homestead "w/p0 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System R residence,including county: ❑ IN 11767 E SR 64 5.Wind Power Device' Address(Number and Street) • ❑ IA 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ [z] 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 111 17 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) ZID -141- ' 3- ?lot/ ow Pin O D01,- City State ZIP Code County , Primary