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Homestead_Straw (6) ,:LJ } ..ter _ _ _ Patti Kolb Closing Manager Preparer of the Safes Disclosure Form Title 226 W Broadway St. Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 ;E. SEI.l;ER(S)alarQR S e r�. ...,,._ tg Mega ;MiWERM20 MkkattagetnalraMMENNUM1R7g1 Deborah Jo Short Seller l-Name as appears on conveyance document Seiler2-Name as appears on conveyance document 7743 Andrew Pass Address(Number and Street) Address(Number and Street) Plainfield, IN 46168 . City,State,and ZIP Code City,State,and ZIP Code 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 an c plete as required by 17 c=parld in accordance wi . IC 6-1.1-5.5,"Real Proper Sales Dis sure Act". C di-‘8 Signs eafSeller ature of Seller (?. __---' Deborah Jo Short 0 WO '(o/0 d p eat it 4-4 J( �[c(' d , , Printed Name of Seller Sign Date(MM/DD,/YYYY1 Printed Name o[Seller SO;Date1MM D 4:44tnER taafE:E"Cg ": APPLICA'VNER P Op�R 'Y FAX:D :atta S' ,I_D�N iniaL ITEMS:�'1'H�LT`ApPLY = ,.,. _� ` ;: Tanner W.Straw McKenna R. Wilson Buyer 1-Name as appears on conveyance document Buyer2-Name as appears on conveyance document 5384S950W 5384 S 950 W Address(Number and Street) Address(Number and Street) I Owensville, IN 47665 Owensville, IN 47665 { City State,and ZIP Code E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLYAUg 11 2020 YES NO CONDITION YES NO CONDITION 2 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead GIBBON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ ® 4.Solar Energy Heating/Cooling System residence,including county: 6299 S 1075 W ❑ 0 5.Wind Power Device Address(Number and Street) ❑ [l 6.Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ ® 7.Geothermal Energy Heating/Cooling Device ' City,State ZIP Code County ci ❑ 2 2.Does the buyer have a homestead in Indiana to be 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide 0 J 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. Not available in all counties.) Address(Number and Street) tity,sratezfPCoae 26-17-08-400-000. 675-021 County