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Homestead_Ziliak (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 '1) PREPARER.;��.�_._. ,f0. ,_..��.,._., ._ _ ,_ .«'. ,� .taft.: .,. �.�tr s.,r_.s..._.�,_���.,�.. ._ _ T,r_..,.�I.,. wMr� ...� ....r�:. �,_.f _...��.... k Leon C.Stone President Preparer oldie Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) E-mail E SEELER(S,)/GIZANTOR[S)y. Vat F RY -;--- 3 s SSEG Z, y Christopher T.Kirkwood Holly M.Kirkwood Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 501 S. Hillcrest Drive 501 S.Hillcrest Drive Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 Fort Branch, IN 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 a require aw,and is prepared in accordance wit IIC6-1.1-55.5,"Real Property Sales Disclosure Act". 1- ature of Seller Signature elIer Christopher T.Kirkwood !�/ a 9 Holly M. ood > � Printed Name ofSeller Sion ate MM/IJD/YYYY) Printed Name ofSeller ' Sign Date(MM/DD/YYYY) F$UXER[S)/GRANTEENTRATR A'TION I OIL P_.,tolls TA MINI Tf MWDENTII I'ALI;I,TEMS PHMP erdti ME ` ` Tyler Ziliak Haley Ziliak Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 11200 Lockleigh Drive-Apartment 327 11200 Lockleigh Drive-Apartment 327 Address(Number and Street) Address(Number and Street) E-mail Oct 27 2020 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.n, YES NO CONDITION YES NO CONDITION g ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 501 S. Hillcrest Drive ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch, IN 47648 Gibson IZI 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County RI ❑ 0 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 ❑ 1Z1 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) 26-19-19-102-000.577-026 City,State ZIP Code County Primary property owner contact name E-mail