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Homestead_Corne INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER•.... •R__ • Daniel A.Moon ATTORNEY Preparer of the Sales Disclosure Form Title , 116 S.MAIN ST. Daniel Moon Law Office,LLC Address(Number and Street) E-mail E SELLER(S)/GRANTOR(S) JOY CHANDLFR HYNFMAN JO CHANDLFR BURNS Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document .10236 S.QUAIL CROSSING 10236 S.QUAII CROSSING Address(Number and Street) Address(Number and Street) HAUBSTADT,IN 47639 HAUBSTADT. IN 47639 City,State,and ZIP Code City,State,and ZIP Code • 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 wi 6- - .5,"Real Prope�Disclosure Act". /ign lure of Seller , Sig fture of Seller ,Iny Chandler Hyneman 07/29/2020 Jo Chandler Burns 07/29/2020 Printed Name o Seller�., Si•n Date(MM/DD/YYYY) Printed Name o Seller Y �. •el Date(MM/DD/YYYY) rrEt Ltlati\Ytn S)_.—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AL ys j �? CAROL SUE CORNE_ ,•- ••••• ••• •nveyance document Buyer 2-Name as appears on conveyance,rio um2t 9 2020 11917 W.875 S. ,JUL Address(Number and Street) Address(Number and Street) POSEYVILLE,INDIANA 47633 fitem:Ligiatir— E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER - ENTIFY ALL OF THOS AT APPLY. YES NO CONDITION NO CONDITION ❑✓ ❑ 1.Will this property be the buyer's primary n n 3_- H`ead residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System • residence,including county: ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device City,State ZIP Code County 27.Geothermal Energy Heating/Cooling Device ❑✓ ❑ 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 ❑ n 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-m 7 tact information includin county: below.P e see instructions for more t ation. I t'l CC1 G S No vailable in all counties.) Ad ress(Number d Street) ^ - D&u(Number and k� ��(0 QIC) Carole Sue C me �- .�-'d3 •'b ..o-aOQ..�0. (0I- City,State ZIP Code Cavity Primary proper owner contact name q Number License/ID/Other Number