Homestead_Dean . ,
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Lynette Murray Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd
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Heather A Thaxton
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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rAddi:jii.(11.1ainbWaii'd Str-Xt.) ..._ ' Address(Number and Street)
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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
complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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49finature of Seller Signature of Seller
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Heather A Thaxton 01-{-/..0,..-,;,?'Uaa
Printed Name of Seller _SIrrii`bate.(MM/D-15/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
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arrett N Dean Shayna R Dean
appears on conveyance document Buyer 2-Name as appears on conveyance•ii '
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Address(Number and Street) Address(Sher and Street)
aidtedn_svge
City,State,and
mail Telephone Number ri _ __E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. Y ALL OF THOSE THAT /
Y NO CONDITION
ES1 s NO CONDITION
11 1.Will this property be the buyer's primary n 3.Homestea GIBSON COUNTY AUDITOR
residence? Provide complete address of primary 0 121 4. o ar Energy Heating/Cooling System
residence,including county:
( (9-1 5 • Fair,51- . 0 o 5.Wind Power Device
Address(Number and Street). " 0 z 6.Hydroelectric Power Device
0 litfti1(2 trait LI —itstaS OJ b5lAn 0 [Z] 7.Geothermal Energy Heating/Cooling Device
City,State ZIpl'ode l, County
0 z 8.Is this property a residential rental property?
111 12111 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 Z 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.
a coun 1 .
Address(Number and Street)
'01 -‘01-000.3o-- 02 -
City,State ZIP Code County
Primary property owner contact name E-mail