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Homestead_Osmer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ?D PREPARER. i - a _W " .. ,.. , -, .... __-` , ,1 a., : „_a,.,.n ., '-,,. :�,..... Britany Bradshaw Agent Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 E-mail sE.SELZER(S)/GRAN ,OR(S)_..K.,.. :.M . atagWaniitMak,.._ _£_._�..s... ..s, _AEMMESAMMIESMSTMER7 Stephen J Sevier Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8450 S 650 F Address(Number and Street) Address(Number and Street) Fort Branch. IN 47648 City,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,I ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c ete s r ired law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". g r Sell Signature of Seller Stephen J Sevier %/C7"`��� Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F ti.MgR(S)/'dMNTEE(S)_ APPLIC tifirFOR.PRQPERTY TAX;DEDUCTXOMM),ENTIMI;L ITEMS'I ATAPPL r,- E N AZ. ;._`.w Johnny Ray Osmer Teresa Ann Osmer Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4842 S St Rd 57 4842 S St Rd 57 Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 Oakland City, IN 47660 Nov 02 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 JM�+r+•' 0 ❑ 1.Will this property be the buyer's primary Ej ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 4842 S St Rd 57 ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 2 6.Hydroelectric Power Device Oakland City, IN 47670 ❑ J 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El El 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 ❑ 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) 26-20-02-201-000.790-001 City,State ZIP Code County Primary property owner contact name E-mail