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Homestead_Georges (2)
INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2 D. PREPARER Abbigail Moers l:5 C-A oki) /at 4- Preparer of the Sales Disclosure Form Title 605 SE Martin Luther King Jr Boulevard Southwestern Indiana-Land Title Address(Number and Street) E. SELLER(S)/GRANTOR(S) Karan A.Thacker Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 512 S. 8th Ave. Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 , 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 and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �- 41ciitaill. A iaLt / Signature of Seller Signature of Seller Karan A.Thacker 10/26/2020 10/26/2020 Printed Name of Seller Sign 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 Janet Georges Kathleen M. Conrey u er 1-Name as pears on conveyance document Buyer 2-Name as appears on conveyan ddcu en 2564 E 1025 S 2564 E 1025 S Address(Number and Street) Address(Number and Street) ! '� Haubstadt, IN 47639 Haubstadt, IN 47639 °C j 2,n .�� Te ephone Number E-mail Telephone Number Q A. E-mail THE SALE DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL F�T:1••.•'r. i�'PPLY. YES NO CONDITION S O CONDIT!' ` YAUn+. ❑ 1. Will this property be the buyer's primary ❑ 3. Homestead UR residence? Provide complete address of primary El 4. Solar Energy Heating/Cooling System residence, including county: ❑ El 5. Wind Power Device 512 S 8th Ave. Address(Number and Street) 0 © 6. Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ El 7. Geothermal Energy Heating/Cooling Device City ate ZIP Code County 0 El 8. Is this property a residential rental property? ❑ 2. Does the buyer have a homestead in Indiana to be 0 El 9. Would you like to receive tax statements for this vacated for this residence? If yes, provide complete property via-email? (Provide contact information dr s of residence being vacated, inclu ing county: below. Please see instructions for more information. O � b C ��ne A c?`n nl Not available in all counties.) A)ddress(NumberandStreet ram( ►lJ� t 1(/l (pte(O\d‘-13-cc-,roo-a 2 . .04 -009' 1 Primary property owner contact name E-mail C�ty,St a ZI ode County 2�_1r_ILq_7.62_000. 251-026 ( A 2�P22) License/ID/Other Number ns F "N1 ,-KbPrf J 't inA Ina , e •