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Homestead_Montgomery
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 r.D_P Ff.08R ..:iiL",;."...iii., . _..: _-1::: .-::_:. . .-_. _:-.. .._.',..-..,:.--_}'._,_ '._ri ==.... .1 .11 ___"_:_,..'--,__,- __-._ ..1‘. '.-,.-__ _ .:-- _,J,_-:'.'_:-. _,.:____: _._ Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 E-mail E SELLER(S)/GRANTOR(S): :. - David A.Cromer Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 10747 F 700 S Address(Number and Street) Address(Number and Street) Oakland City. IN 47660 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 as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller 1 David A.Cromer 9"16''.2 0�0 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) _F BUYER(S)/GRANTEE(S)`_APPLICATION_FORP"ROPERTY TAX?DEDUCTIONS _IDENTIFYALL.ITEMS THATAPPLY _- Keith W.Montgomery Carol FMontgomery Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document® 7 10747E700S 10747E700S , Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 Oakland City, IN 47660 SFP . Z74) 1 ,Q /k, - E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT-AMA S�j �j YES NO CONDITION . YES NO CONDITION "Ty '0. i ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead ��o/T0R residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 10747E 700 S ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ yi 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 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) C!,(/_ 16 /J—dC)—09/ �!/ `E/0— City,State ZIP Code County XXOO Primary property owner contact name E-mail