Homestead_Engle —INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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4: €,R,ERAIZER:.<x> l£. tW, ;€'..a; f a,€I OM h,..,:. 33 iSI a r 1, t:F 41 s R,. f s...., is ;' >f..:
Preparer of di Sates Disclosure F,,pprm Title__// _
9f-O/ rt >� 6K6 a4-7 e0nS Je-iie4 ice,//• " � 4,.r
Adqdress(NumberandStreet)
E-mail
rlw SEMER{SVORlit c.'".,,x., s v r,t l
f. ..n, „f#u. _...� ..,,.`L>:x %,r�i,:le '% .%...e,✓s?_.wu'�i.�9i4.kFferAFeSa3 ,s.-r,;'eG.`_ ,o4i. .,,..;LM�..a..Z.,
Casey L.Coney Amanda S.Coney f/k/a Amanda S.Nass
Seller).Name as appears on conveyance ument Seller-2-Name as appears on con anc came
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125-01 5- OiJertsv,lit L7 /19 d I S C"�I�ngslilicle TX�1C7
aad�tdress(Number and Street) Address Nymper and Street)
44mLS4o.d4 Tr4 y7639 C N\VOSADctk„'�1J �`7lc
p Under nalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c ,plete as r ired by law,and is prepared in accorda '{Ii IC 6•1., �
1--555,"Real perty Sales sclosure Act".
Si rare of eller, tgnature of Se r
4Sry4�Nyevvff a I
/�,,�r"l,ir o. Ca�ctNm'xs s. A/ons igPrinted Name of Seller Sgn (MMIDD/YYYY) arinted Name of Seller " Sign Date(MM/DD ) -
- r F:3UNTR(S)IGR Yi TERST RRPPLIGtC;UOMFOR PRORBRTIMAX DBDUCTIONSaDENTIEV AL LITEAIS?'HATir1PPLY. M
Jacob Al.Engle - Melissa J.Engle,husband and wife Buyer I 6 Y/(-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
Po Po Boxtin
Address(Nu er dStreet . Address(Numb and Street)
, f, �r/YZ 14l4c+a sti 14n6. FIT.Fn
City,State,and ZIP Code City,State,and ZIP Code
•
Mar 25 2fl q
Telephone Number - " E-mail TelephbneNumber E-r'
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER I
OF TIIOSE THAT APPLY.
YES NO. ONDITION YES NO CONDITION A� GIBSON COUNTY AUDITDR CB
Sme�i. Will nchis?ope:Ty the buyers primary t l ' T{bmestead
ofi,C residence?Provide complete address of
"pri/mary residence,inc ding county: X 14. Solar Energy Heating/Cooling System
ado 4/ crem,pbr//.4/vli X 5. Wind Power Device
Address um en d S r et) 4,--1- X 6. Hydroelectric Power Device
" y ef f "i - &'2 5�- n n 7. Geothermal Energy Heating/Cooling Device
Ciry,State P Code County
n n 8. Is this property a residential rental property?
❑ in 2. Does the buyer have a homestead in fi I--� -
Indiana to be vacated for ilsis residence?Ift ( 19. Would you like to receive tax statements for
yes,provide complete address of residence this property via otnail?(Provide contact
being vacated,including county: information below.Please see instructions for
more information.Not available in all
Address(Number and Street) " counties.)
City.Stare ZIP Code County -
•
26-18-36-400-000 . 624-009
Primary property owner contact name E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as