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Homestead_Turnbow INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) E-mail E.SELLER(S)/GRANTOR(S) Fstate of Garry F Roberts. Kelly L Pegram. PR Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 9790 W SR 165 Address(Number and Street) Address(Number and Street) Owensville IN 47665 E-mail Telephone Number 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 req ' d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of S Ifler Signature of Seller Kelly L. Pegram. Personal Representative /D— /6 M. Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS THAT APPLY Steven T.Turnbow Joyce O. Turnbow uyer 1-Name as ppears on conveyance document Buyer 2-Name a a pears on conveyance document qO� k)i 1lt i A-V� )61as' 1t)i 1/ &� tvo dress(Number aind Street? atress(Number arid Street)I THAT APPLY. OCT/ YES NO CONDITION YE$ NO CONDITION G/ / (29 X ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead ���-v "`�C /9 residence? Provide complete address of primary • ❑ © 4.Solar Energy Heating/Coo �4'•'?�� qn (3� e idenc including_county: y �. / —![� tu S � /i S ❑ ❑✓ 5.Wind Power Device 'lefts rytdrei) 15Y;Street) j / �� C/7/ S'D.16 ❑ 0 6.Hydroelectric Power Device TAR(UJ�`l, cG��`�1CJI `//i ' (l�/ ❑ yi 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ Z 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ I71 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 i all counties.) Address(Number and Street) �,/�., /�J .�J City,State ZIP Code County C71 l D 1 Ob_ D0/ „ `' '7 J 0,1 Primary property owner contact name E-mail