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Homestead_Hudson (2) INDIANA�+}j SALES DISCLOSURE FORM SDF ID: Page 2 T�PREPAREIZ c4iR i, *�`_: .<,x -`. sus;,: `* �€"` .",,t ;z o of �x..,l�"7 n, 9 $y 'f-' �T ? ,d g.yam` " 3 �T" s K am. r-:.x ....,_...:.._..s.� <. ,-:a..� _...L�_�_,:... "s�i�?. .,.� s 5.i�_._. �`! � _<._ �>,- �.� k . _s mar t:.r.,,��,:�.. �", . Leon C.Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 City,State,and ZIP Cade Telephone Number E-mail E SELLE [S)/_ 7 ORS) :---��� �.iN- ., ....__ .�rONWI SSI P PME:� xVela_,�;. fMNAMSSOR M u- x_.__�. Selena l Runau f/k/a Selena L Harris Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4847 S 1025 F Address(Number and Street) Address(Number and Street) Oakland City. IN 47660 City,State,and ZIP Code City,State,and ZIP Cade 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 completeas required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ,gyp/ Q_JY�Ch_,��C ' 1 L.A4! Signature ofSeller Signature of Seller Selena L. Runaji f/kla Selena L. Harris 8 c Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) '.F'BI7Y R(S OTWi OS) .A,PPLICATI;O_N.W .ROP WINIVMEMIEJO(reg1D NTIE lAItritg T A '-APOY' .:Ma .M Zachary S. Hudson Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 5366 S.Jefferson Street Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 City,State,and ZIP Code City,State,and ZIP Code (812)228-6608 FILED Telephone Number E-mall Telephone Number Auy 19 2020 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 4544_S_1025 E El / 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 ❑ 2 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. 5366 S.Jefferson Street Not available in all counties.) Address(Number and Street) Oakland City, IN 47660 Gibson 26-20-02-202-000.411-001 Cfry,State ZIP Code County Primary property owner contact name 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".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) - —' gJnature of Buy ell Signature ofBuyer2/Spouse 7arhary S Hudson 0 Printed Legal Name of Buyer 1 Sign Date(MM/DD/YYYY) Printed Legal Name of Buyer2/Spouse Sign Date(MM/DD/YYYY) II1 1 0 ,r/'IA' Last 5 digits ofBuyerl Driver's State Last S Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security License/ID/Other Number Number License/ID/Other Number