Homestead_Burns •
INDIANA SALES DISCLOSURE FORM SDF ID: Pa:e 2
D.PREPARE ,_
D: .
Donna Zehner Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street)
:E SELLER(S)/GRANTOR(ST ` -
Terry.Dunn
Seller 1-Name as appears on conveyance damn • Seller 2-Name as appears on conveyance document
,GQ £ 4 ac+ 6 `f
Address(Number and Street) 1 Address(Number and Street)
&19n S; c N y c"6 `/City,
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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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gmotu. of Seller r f SgnatureofSeller
Terry.Dunn 7 l aG
Printed NouieorSell Sign Date MM/PD,'Ym-) Printed Name ofSuller Sipn Date(MM/DD/rm
F 8 •_e,,,, ANT-EE S ._.API LT,CATI'ON FOR PROPERTY TAX_DEDUCTI'ONS-IDENTIFY ALL ITEMS THAT APPLY: 7:,y;+,`-'.
4 • Jennifer D Burns -
:u er -....-• . - --,, conveyance document Buyer 2-Name as appears on conveyance document
(5)Z S- b;b
Address(Number and Street) Address(Number and Street)
City,State,and ZIP Code City,State,and ZIP Code FILED
THIS PROPER r. I i TIFY ALL OF THOSE THAT APPLY./1• ^.�
TVNO CONDITION YES 0 CONDITION
❑ 1.Will this property be the buyer's primary . [] 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
Elresidence,including county: 4.Solar-Energy Heating/Cooling System
5-I-8 5 (11110 � ❑ ❑✓ 5.Wind Power Device
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Address'Number and Strce) ❑ 6.Hydroelectric Power Device
0 cl,ti�-1.91'01 (AO ! 7(p 1la0 U.*tin ❑ 07.Geothermal Energy Heating/Cooling Device
City,State7,l Code County •
I: 2.Does the buyer have a homestead in Indiana to be ❑ ID 8.Is this property a residential rental property?
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vacated for this residence? If yes,provide ❑ EZI9.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.
of available in all coun
Address(Number and Street)
26-14-19-201-000. 844-007
City,State ZIP Code County
Prunarypraperty owner contact name E-mail
Number License/ID/Other Number