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INDIANA SALES DISCLOSURE FORM .SDF ID: - Page 2
iDIPRERARER; 'C- uiii-The, - ..T,_.c- -` 3._.i./7 +.e:" Triral, , - 8 ��-i.'
John G.Wetheril Attorney
Peyote,ace Solos DmYare Pma lust
• 215 Main Street WethenT Law Office LLC
A6'.en plumber vat Street) mmF'D'
Rocicood IN 47635 812-649-2221 wetfilaw()sbtolobal.net
OD:facto and DP Code r2¢eve Number
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ftPSELf ER(S)(GRANTOR(S Sett jZ- Wit(.:ra.•',a -Cif.we'i:: -:• •1!;:t.v. :.:N Ws-» n'ta'9a14.
Adam S Rom. Page L (Renaonl Rowe
SeOer I Name aappears an tm.',rre Ntvonct Sderi-Hem,arvptmn on cmtomrrw honor
IIAS ibimiAYR cone
Address(Number and Scree) Aber(NVUbe old Sued)
Underpenale •fp/try, • eby certify that this Sales Disclosure,to the best my knowledge and belief,is true,correct
and comp • . r.,. re• ,y 1 ,and is prepared in accordance wi C 6-1.1-5.5,'Real Property Sales Disclosure Act'.
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6mrr -n ,T K Qt A l-t .
Adam S Rowe 03 2 7-20)6 Page L(Benson)Rowe 03'0-7:Z0/i
Morel None el See riga Dote WW o/rm) -- ?Mtn/n'oneo/saer 55 mu INM/DD/rm)
IFSBUYER(SV GRANTEE(Sj'L-"AP.P,LICiTIONTOWEROPERIT 8tAkDE000ITONS°IDENTIESJACI^1TEMSMIAT!AP.ICCc a
Jonah Dav •
a 1-Hone., ,r m,CO conveyance dormant O vo I-Name as oppevn on nonnywxe dunot
I�Ql� �.
A6m(rim a rind ane)CoK U `tC;1 iA 4/7*e0
THE SALES DISCLOSURE FORM MAY BEU4DTOAPPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY:IDENTIFY ALL OFTHOSE
THAT APPLY.
Y6 NO cos-onion 1 TAC,S�HO CONDION • A nR
l� ❑ Will this property be the buyer's primary n' ' 3 Homestead / 4
residence? Provide complete address of primary t - C��U
residence`` do,�J`�yg cottyy�� ❑ ❑ Sour Energy Heating/Cooling System
iii 5.. '/A1((Y �e ❑ m 5.Wind Power Device
•Adamfxvm�e, aster) r� V ❑ Q 6.Hydroelectzic Power Device G/&SON f�t�
ory M/ 't/ "' 7719b ❑ 0 7.Geothermal Energy Heating/Cooling Devie°1-/Nr,
/�f n
❑ ❑ 8.Is this property a residential rental property? q(/O/ R
❑ oesthebuyerhaveahomes teadinlndianambe r0
vacated for this residence? If yes,provide ❑ i7 9.Would you like to receive tax statements for this
- complete address of residence being vacated, property via e-mail?(Provide contort information
including county: - below:Please see instructions for more information.
• Not available in counties.)
A64m(xumbr and Snort) /J// 2 y /y1 -7
ay.Some iiCde �q dX /J-X5- a�-660 Uee-66
Price,p-epetyowm Conan name F-m0
•
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
f;K STANDARD/SUPPLEMENTAL DEDUCTION FORM
1-- at Sons Porn 5473 min i-16) HCIO
Pros W ed by to Department a Los Gov noai fimcs
INSTRUCTIONS:See reverse aide for flog hsauc6MS.
NOTE Telephone,Soda!Secretly oeteer's arena state i1en65rakon and federal)d nttkafion numbers am confidential under IC 6-1-1-12-37.
I(We) certify that I(we)ocapied as my(our)principal
place of • or am(are)buying the following property under contract for which a Homestead Property Tax Standard
Deduction is earned on the date this application is , (data of signature). I(We):
❑ Own. ❑ Am(am)belying under recorded contract
❑ Am(am) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial intelast in the trust or the right to occupy the property under the terms of a qualified personal residence trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. •
.
Cash* berate Tashg ofdti r�"
Patel meter legal des�G ' Win/ ' Is"the ptaperly r question
l`-" son, ✓� �/ Real Fr PeitY ❑Annually motile home(IC 6-1.1-7)
Ur*portion at the residential sbucosa or re bed not searing ono ft)acre mat harnedae*surprW that sbumxe is used to solo®inane.Berate to use and pain
are proper*Lathed to prods*Inman.
26-13- 13 -362 COO FO / Oo7
f .'2ROpERTY OWNED ELSEWHERE BYCLAI/1ANT,l',
Sze,Candy,ad Township Is clamant vacating a homestead?
// ❑ Yes ❑ No
/O 1(leretry certify the above statements are true,correct,and compete.
Address• .• ..•(nannbere d sheet rate.alafe.and ZIPmnd) v ••--of e htaamad,am rasiaer,ah:stab.erg ZrPedtle)
A a rd : e 04kfP,� C;t TA/ •��(VVV///
ASSESSOR USE ONLY 'r AS VAL LIE._ .hr HOMESTEAD.VALUE NON-RESIDENTIAL'
VALUE
Land not surrounding residential i improvements mans Immediately (1)
Other land (2)
Total land(line 1 plus line 2) (3)
Residential assessed memsm Dwelling (4)
annually assessed moabDe I
manufactured home Garage (5)
Other improvements (6) ,s ti.tit
Total improvements(line 4 though!me 6) (7)
Total value (line 3 play tine 7) (6)
I hereby certify the above is true,correct, Siyaose dpssessa
and complete.
ttrayhg eerie-Signature oAadxr DaA VgIm(. / dal`
A" 2 ,
_ + - -' "'- t STANDARD DEDUCTION ALLOWANCEc" -'4_• �e:d + ,
20_pay 20 Lesser of 6096 of the assessed value of the homestead or 565,000.
Nark was real properly or to a manufactured thais ot assessed as coal propertymay $ (�
not exceed�'(�1/gmre assessed vale of the mobile home or manufactured horns. GIBBON COUNTY AUDITOR
i.ed A Z I �2D 1y
DISTWBUnoN:Ddpiel-County AUdaar,FMnced Copy-Taxpayer
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