Homestead_ArnettI\'D1A\A $ALES DISCLOSURE FOR\t $DF IU SDO ID 778745 PaRe 2
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C Bavett
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226 West Broadvray Broadway Title Inc.
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E. SELLER S GRANTOR S
Banks M Brevrster
Srller 1- Name arnp�rs on <onve�anae Jorumen[ Srller 2� Nume us uppevn on oomcwnce da'umen:
302 E lowst Street
Address(NumberaiMSPe¢J Addrtss(RvmberandS.rttQ
Fort Branch, IN 4764&
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Under penalties of perjury, I hereby certi(y tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
�uire[1 by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC.
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F. BUYER 5�GRANTEE S�-APPLICATION FOR PROEERTYT�IX DEDUCTIONS-�IDENT[FYALL ITEMS THATAPPLY
Mark E Amett II
Buper 1� A'ame ns aypmrs om m�vevanae docvmm: Buyer? � A'vme usnpyevrs on tonvnvn�c datument
501 E Strain Street
Jddress (h'um.bei and SvrrtJ Addr6s (Numbrr ond Strer��
Fort Brench, IN 4764&
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TNE SALES DISCLOSURE FORM MAY 6E USED TO APPLY FOR CERTAIN DEDURIOYS FOR THIS PROPERTY. IDENTIFI' ALL OF THOSE THAT APPLI'.
YFS VO CONDRION I YES NO CONDITi09
Q ❑ 1. Will this properry be the buyer's priman� � Q 3. Homestead
residence? Provide complete address of primary � � 4. Solar Lnergy Heating/Cooling Sys[em
residence,includingrounty: � �
302 E LOCUST S7REE7 5. �Vind Po�ver Device
dddress(A'um.Gcrond5[reecJ ❑ Q 6. Hydroelectric Po�ver Device
Fort BranU, IN 47648 GIBSON � � 7, Geo[hermal Ecergy Heating/Cooling Device
CiN Sm:eZIPCode Caunrv
�� 2. Does the Uuyer have a homestead in Indiana to be � � 8. Is this properrv a residential rental propertq?
vacated for this residence? If yes, provide ❑ Q y. �Vould you like to receive tax statements for this
complete address o( residence being vacared, property via e-mail? (Provide conmct informotion
induding rounty: below. Please see instructions for mare information.
hbt available in afl counties.J
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to Ihe bes[ of my knowledge and belie(, is true, correct
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse in rmation, Social Security and D�iver's License/O[her numbers are not ne�essary i(no Homes[ead Deduttion is
being�e .) / � �
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