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Homestead_Browning INDIANA SALES DISCLOSURE FORM SDF ID: Pale 2 D.PREPARER Britany N Bradshaw Agent Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) E.SELLER(S)/GRANTOR(S) 40...., -- :1. 0-- OS hi E 7L. Connie Lou Osmer Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4818SSR57 4818SSR57 Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 Oakland City IN 47660 E-mail Under penalties of perjury,I hereby certify that this Sales Disclosur ,to the best of my knowledge and belief,is true,correct an i omplete.as required by law,and is prepared in accordance t IC 6-1.1-5.5,"Rea rope Sales Disclosure Act". • Si rreofSe � k C9 iynautreofSeller ~ —s ;yIA b frt-.IC t5M 3 -( 'C) Connie Lou Osmer g//(01.o..t-v Printea Name of Seller S(;qn Date(MM/DD/YYYY) Printed Name of Seller Sign Date(.MM/DD/YYYY) F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS THAT APPLY Brian M Browning ! Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 110 N West St Address(Number and Street) Address(Number and Street) Princeton, IN 47670 City,State and ZIP Code City,State,and ZIP Code FILED Telephone Number E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THA A,y'••LP 20Z0 YES NO CONDITION YES NO CONDITION ili .: .s`171t1, 0 ❑ 1.Will this property be the buyer's primary 171 ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 4818 S SR 57 ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ IZI 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City.State" P Code County El [ 2.Does the buyer have a homestead in Indiana to be ❑ IZ 8 Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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) 2 6-2 0-02-2 01-002 . 17 3-001 City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number