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Homestead_Whitfield INDIANA SALES DISCLOSURE FORM SDF ID: ID Page 2 tlMli A . ra a g araiTAINSEMOREEKERMIUMMERRESSENSO I Kandace Rogers Title&Escrow Processing 1 Preparer of the Sales Disclosue Form Title 4905 Theater Drive Columbia Title,Inc. Address(Number and Street) • �c1 }}''�� jD 1l t`1 (��Q�]�1 77 ,.J=—L' Th\\ %74L�H'Y_!�4 1��)5 SIONMINMa.F�.rf e. -ri.- r. .:i., l ,rr..geM L;1_.......L L._.-. ....,`}<,t_'M1':`_.l.\1..2. ani Richard Lowe Butler Se/le�r,1-Name as appears on conveyance document Seller2-Name as appears on conveyance document Address(Number and Street Address(Number and Street) • Flfai AIL )1 g11t 3 II-mail Telephone Number 5-mall Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ant,completem(� �a/required by law,and is epared,i]i,accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �CI(LC4t.I�(/ GGt C [/,`uZ4 l� Imo`,..„. Q-11 ... C.4v, ( '/.- SignatureofSeller �� C Signature of Seller Richard I owe Butler U(� VI j'E/.Yn 3. �e.�.�� 12/11/2020 Printed Name o Seller S it Date MM DDuu/ Printed Name a Seller Si n Date MN DD/YYY IP'J )f., 060_, 2T LCA�I?Lb 1,tENPRO . tI'X T M > `T. ID_ M LEI MS�'3 11'A 11r :IN +` _e Andrew J,Whitfield Danielle N.Whitfield • Buyer 1-Name as appears on conveyance document Buyer2-Name as appears on conveyance document • 11726 South 650 West Road 11726 South 650 West Road Address(Number and Street) Address(Number and Street) Cynthiana,IN 47612 Cynthiana,IN 47612 City,State,and ZIP Code Cl State,and ZIP Coda • THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY,IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 20 1.Will this property be the buyer's primary 0 ❑ 3.Homestead Dec 21 2020 • • residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coolh 3 • residence,Including county; • ❑ [5?] 5.Wind Power Device GIBSON COUNTY AUDITOR CB 11726 South 650 West Road Address(Number and Street) 0 ❑✓ 6.Hydroelectric Power Device • Cynthiana,In 47612 Gibson ❑ a 7.Geothermal Energy Heating/Cooling Device Clt}4,State ZIP Code County ® ❑ 2.Does the buyer have a homestead in Indiana to be ❑ t3,Is this property a residential rental pI operty? vacated for this residence? If yes,provide 0 WI 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information r Y'n, tmty: below,Please see instructions for more information. � (' �/� , Not available in all counties,) 1a /- , Address N mberatdStro t) .� • t 1 26-22-07-300-002.789-024 City,Stott ZIP Code minty Z�j�1q_31-30 y-flo n 2e�q _ o Primly property minter contact name B-mall • 1