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Homestead_Montgomery (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 eD-PREPARER M -_nt.,--1.ie4 _anatMS -14 ;,. _ z-..:_�.� Sa-• �._ _ a._.11'itSaT Lelsa Billings Typist Preparer of the Sales Disclosure Form Title 530 Frederica Street Foreman Watson Land Title Address(Number cod Street) Company . • Owensboro,KY 42301 270-689-2424 LBILLINGSeFW-LT.COM City,State,and ZIP Code Telephone Number E-mail 1' EShLIHR(Sj%G RAN TDR(S)_ 1 . a-t-T�. r._._v -:r.-� -- ra- _ _-,,r=-t��,--- �=eez-r'i Jagoe Homes Inc Seller1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document • 3674 Wa'hens Crossing Address(Number and Street) Address(Number and Street) • - U•der •enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a c• plete a r quired by aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". a iii J L ' Signature of Seller MEIN 41 Printed Name ofSeller Sion D re DOD 'I Printed Name of Seller Sign Date(sat/oc -F4:BUYER(S)J GRANTEE(SAPPLICATIONFOR'4PR4PE• Y_TA%DEDUCTIONS,`-'IDENTIRSALIYITEMSiTHAT-APPL ==y Kimberly Montoomery -A Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document • 1436 West Chukar Hollow Road Address(Number and Street) Address(Number and Street) Oe ? Haubstadt, IN 47639 - (•C a . THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTALN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.4t< YES NO CONDITION I YES NO CONDITION y' V1 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead v�//. residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System 4) 4 , residence,including county: ❑ , 5.Wind Power Device 5 ∎1J Address(Number and Street) ❑ [✓I 6.Hydroelectric Power Device I ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ [f 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 ❑ [ 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) 02 4_1 g'_3& _ 300 - o0a. 9I 1-Dau City,State ZIP Code County Primary property owner contact name E-mail • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;D.,P,REPARER_ r `E aa. = z a _. _._ = Leisa Billings Typist Preporeraf the Sala Disclosure Form ntle 530 Frederica Street Foreman Watson Land Title - Address(Number and Street) Company Cwensbaro,KY 42301 270-689-2424 LBILLINGSeFW-LT.COM Clry,State,and ZIP Code Telephone Number E-mail r .� -'mot - -,wr °`- ". x sa. .z �-�--•^ ?ESELLER(S)/GRAVT'flR(S) � = .__�..�:�_ _ ._.�-� _�.t_: �' � x i � .� -�.� ��� Jago=Homes Inc Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3974 Wa'hens Crossing -Address(Number and Street) Address(Number and Street) Owensboro de. tenalties ,f perjury,I ereby certify that this Sales Disclosure,to the best ofmyknowl�: geSanthb is e - ,correct • •• r co lete as I'quir d by aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro files DISC;'. —ct". e� / ' S19namre of Seller e5'Q N Q Printed Name Seller Sian Date xN/o1444,1 Printed Nome of Seller '.-W SLn Date Si onaw :F.BUYER(S)JGRANTEE(S)'!'ApP,Me TION FOR RTYzTAX DEDUCTIONS,:IDENTIFY ALI)TCMS'F t.a PPLY- -;.c T y,_Y. _ Carl N.Ball.Jr. Cheryl Ball /TO,q :ter' 4':lne Errorsat conveyance c cuumme�ct� /� a'z' -P.in a appears pnc n� dam .• _ cha ,u /bx^ l/ 21L1 , l :A A r A d• a ,vmbe and Street) A d " � — - THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's primary (7] ❑ 3.Homestead residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 5.Wind Power Device Address(Number and Street) ❑ V] 6.Hydroelectric Power Device ❑ IA 7.Geothermal Energy Heating/Cooling Device City,State ZIP Cade Caarty ❑ ❑ 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 ❑ [ 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) d‘-i7 it- 360- elan. -7 / 775.05Y Cly,State ZIP Code Cauc y - Primary property owner contact name E-mail