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Homestead_Lamey (29) INDIANA SALES DISCLOSURE FORM SDF ID: • Page 2 D.PREPARER Kathy Masterson CLOSER Preparerof the Sales Disclosure Form Tide 501 Main Street,Suite 101 Bosse Title Company,LLC Address(Numberand Street) E-mail E.SELLER(S)/GRANTOR(S) • erry J.Lamey Sel -Name as appears on conveyance document Seller e-Name as appears on conveyance document 1002 W. Address(Number and Street) Address(Number and Street) Haubstadt,IN 47639 City,State and ZIP Code City,State,and ZIP Code ) }L@_sit-co.net Telephone Number Teephone Number E-mail Under penalties of perjury, I hereb et ffy iat this Sales Disclosure, a best of my knowledge and belief, is true, correct and complete as required ,and is prepared in accordance with 1C 6-1.1-5.5," oklerty Sales Disclosure Act". Signer a ter Signature of Seller erry J.Laney 12/18/2019 12 8/2019 Printed Name afSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Dote(MM/DD/YYFY) F.BILYER(S)GRANgE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY �NIatthew G.Lamey Katelyn R.Lamey er 1-Name as appears o *once document Buyer 2-Name as oppe art on conveyance document 1190 72 E. 11904 S.200 E. Address(Numberand Street) Address(Number and Street) 9 E-mail ...-- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER I NTUY ALL OF THOSE THA APR Y. YES NO CONDITION / YES NO CONDITION 'F' ❑ 1.Will this property be the buyer's primary > ❑ .Homestead GI SON COUNTY AUDITOR CB residence? Provide complete address of primary eating/Gaoling System residence,including county: y ❑ 1r 5.Wind Power Device 1002 W.1200 S. 0 Er 6.Hydroelectric Power Device Address(Number and Street) ❑ [1' 7.Geothermal Energy Heating/Cooling Device Haubstadt,IN 47639 Gibson ❑ Er,8.Is this property a residential rental property? City,State ZIP Code County ❑ �' 9.Would you like to receive tax statements for this ❑ 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information vacated for this residence? If yes,provide below.Please see instructions for more information. complete address of residence being vacated, Not available in all counties.) including county: 11904 S 200 E Address(Number and 5treer) ].<-2 2-12-300-000. 616-02 4 HAUBSTADT IN 47639 GIBSON