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Homestead_Martin (30)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2_ D.PREPARER Donna Zehner Processor Preparer of the Sales Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) mail E.SELLER(S1/GRANTOR(S) - • ,. Austin 0 Martin Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document C-7'7I So,-0) 550 6c,ft Address(Number and Street) Address(Number and Street) 'City,State,and ZIP Code City,State,and ZIP Code Purr t t,tcI /1' 1r7'Vr 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature ofSeller Signature of Seller Austin Q Martin i a— a G Printed Name of Seller Sign Date(MM/DYYYYI Printed Name of Seller Sian Date(MM/DD/YYYYn irir2(S)/GRA F. Nfi ttg Ai'P(,IC 11-01V:F D/OR PIQPERTY t7 1)1SL7I GTIOI+i .4IDEIVTIF11 At'Jr EMS ifi4#'AI'PLY:t'l;P Robert Martin Buyer -Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 0 Z IQ Alvt1c11 Address(Number and Sirect1 {� Address(Number and Street) Fn( + r>f it\CN 11V '4l Cm (� City,State,and ZIP Code City,State,and ZIP Code FILED E-mail Telephone Number De"09 9090 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APP , YES NO CONDITION I 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: `7 73 - W (•WA(C_irt , i- El ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 2 6.Hydroelectric Power Device Fbk+ V4 n t-te) 1 `'f 6 ..t 1 (Tl SOn El WI7.Geothermal Energy Heating/Cooling Device City,StateZI Code 1 County ❑ [ 2.Does the buyer have a homestead in Indiana to be El ❑✓ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Z 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) 26-19-18-301-000.865-026 City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number