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Homestead_Cook
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D,PREPARER Britany Bradshaw Agent Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 E-mail E.SELLER(S)/GRANTOR(S) Ronald M.Barnett Jr by John A. Barnett, POA - Jahn. A. Barnett Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document /15' C /5 s 5.5"t 1 5. L iwc.,,I,J Ad Ass(Number and Street) ddress(Number and 5tt f et)) _ M Ii�INC.E-7 ") _�N• 47�70 UAK/�1A/D (i iTy. _Dv, 47a: 0 Telephone Number 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 s required jlaaw,and is prepared in accordance with iC 6-1.1-5..,"Real Property Sales Disclosure Act". ,� n . _ . Siouan:, GfSell i -/7-ZO 'T - . .Barnett,Jr by John A. Barnett, POA i.�• • . . RarnPtt 6' t 7-2O Printed Name oLSeller � Sign Date(MM/DD/}YYY)_ Printed NamefSeller _ Sign Date(MM/DD/YYiY) LP s• • -• -'•' EE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Tristep L.Cook • , - conveyance document Buyer 2-Name as appears on conveyance document 112 S Main St Address(Number and Street) Address(Number and Street) Patoka, IN 47666 _ E-mail Telephone Number Jun 18 2020 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR A`-tBENTfi Y OF THOSE THAT AP ,Y. - YES NO CONDITION YES NO CONDITION ,T/w�•,";��1{+��K!µ�► ❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead GI SON COUNTY AUDITOR CB residence? Provide complete address of primary 4. oar k.n gy Heating/Cooling System residence,including county:109SMainSt Ill5.Wind Power Device Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device Hazleton, IN 47640 Gibson ❑ ❑� 7.Geothermal Energy Heating/Cooling Device City,StateZJ Code County El [ 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ ❑✓ 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: . ease see in or more information. Not available in all counties.) Address(Number and Street) 26-02-59-032-000, - City,State ZiP Code County ,,,,,,,-~,,cr,,,,,,v, E-mail Number License/ID/Other Number