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Homestead_Cain
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 DIPrREP ERA ERA R; T Rexanne McCauley Title 8 Escrow Processing Preparer of the Sales Disclosure Form Title 3930 Mezzanine Drive, Ste C Columbia Title, Inc. Address(Number and Street) Company Lafayette, IN 47905 SELUER(SII,GRANTLORISJ1 -- —'- --- —-- - --- --- Kevin I Johnson Melynda S Johnson Seller 1-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 3 flz --t6gegn -reil6c cT I cI l I IC LAC?, -Lt,r, ,C 2Qo-ck Address(Number and Street) Address(Number and StreAt) 5, -7,v5U//( F ti ti7 "7 / t-Uo-ttisoi1 e , L-171 15 1 E-mail Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as re uired by law,and is prepared in accordance with IC 6 .1-5. , "Re Pr perry Sales Disclosure Act". - •In � , Signature of Seller Signature of Seller Kevin L Johnson 3/8/2019 Melynda S Johnson 3/8/2019 Printed Name of Seller Sign Date(MM/DD/YYY1) Printed Name of Seller Sign Date(MM/DD/YYYYI çjmea: : ancedn: EESj1PPLICATIEORl_PLROP,ERTIYtTAX�DEDUCTIOS`IEAiITE-NIHAPIP, k?D. CaSandra S. Cain Buyer 2-Name as appears on conveyance document I O CD on Fs1 sjr- 1 CSC) So)vt.k Address(Number and Street) Address(Number and Street) 0 o,Ln to.,,, of , SN U'1 co Co C) Ch a e, Ainot Code t \ 7 J 1 City,State, E-mail THE.SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT Il7�I( 18 2019 YES NO CONDITION YES NO CONDITION lyl IA ❑ 1.Will this property be the buyer's primary Ej ❑ 3. Homestead , , residence? Provide complete address of primary ❑ 0 4.Solar Energy Head 11 fi:ire* m residence,including county: CaIBSO 1 COUNTY AUDITOR Ir,u o —I 2'rx2-A— l to SC1tl ❑ © S.Wind Power evice , Address(Number and Streeti� ❑ 0 6. Hydroelectric Power Device /� +mot& X- LG-v'Q/ , LI.1 C 9 (0 G ❑ [✓ 7. Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ® 2.Does the buyer have a homestead in Indiana to be ❑ Q 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ g 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: b stzrt einrltcounties or more information. Not available in all counties) Address(Number and Street) City,State ZIP Code County Primary property owner contact name E-mail,`i Under