Homestead_GarbersI,�DIANASALESDISCI.OSUREFORJI SDFID $DOID 732606 Paoe?
D.PREPARER
Samantha CNSirger
�R'ryareroJtAeSclaUiuhuvreform T�tle
226 W. Broativray Broadway TNe. Inc.
AJdrm /NumGer and 5'veet) Cvmpony
Princeton, IN 47670-
E. SELLER S GRANTOR S
Wisty M(Kiesel) Byers Brian W. Byers
Seller ]- h'ame us appevrs m wnvqvnae dm'ument Saler I- Numr aa upyearsun ronvewnae dorumen�
7958 S. NWee Lane 7958 5. Mdee Lane
Address (Numher and Sc�eeQ Address (KVmbrr anCSVreQ
FL Branch,IN 4764& Ft. Branch,IN 47648-
Eriroil
Under penalties of perjury, 1 hereby certify [ha[ this Sales Disdosure, to [he best of my knowledge and belief, is true, correct
and omplete as required by I �, and is prepared in accordance w IC 6-11-5.5, "Rea operty Sales Disclosure AcC.
��.. ��� `�
Si,p �mrco(S 1 Si nam�enf5eller
m rs 4-a�-i a- ; -�- 2-
,
RA�TEES -APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLI- 1STHATAPPLY
Paula Garbers
er - „pmrsnnronvewncedwvmen: Buyer?�NOmeusappevrsonronvevnnredotvmm[
698 E 600 S
Address /A'umber and5[rx[) Address (Number ond 5[reeQ
F�. Branch,IN 47648-
Ciry.Smte.anCZIPCMe �� Ciry,Smre.anGZIPCade
�
Eanail Tdr hnneNurnber Email
THE SdLES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUQIONS FOR THIS PROPERTY. IDENfIFI' ALL OF THOSE THAT APPLY.
5'ES NO CONUITION NO CORDITID�
❑x ❑ 1. Wfll this properry be the buyer's primary ❑x ❑ 3. Homestead
residence? Provide compiete address of prim ergy Heating/Cooling System
residence, including county:
� 7958 S. ANDEE LANE ❑ Q 5. bVind Power Device
AAd�ett�NUm.bvond5trreQ ❑ Q 6. Hydroelec[ric Power Device
Ft. Branch, IN 47648 GIBSON � � 7. Geothermal F.nergy Heating/Cooling Device
Ciry.Sm:e 21P CaAe Covnry
�� 2. Does Ihe buyer have a homestead in Indiana m be ❑ 0 $� Is this property a residential rental property?
vacaced for this residence? If yes, provide ❑ Q 9� bVould you like to receive tax statements for this
complete address of residence being vacared, property via e-mail? (Provide contact in%rmation
induding munty: below. Please see instructions for ma'e in%rmation.
�btavailable in all counties.)
Addr.�s (h'vmbrr and5:reetJ
Gh.S:a�rT,N �ade
�o��ry ���q-�9-�a3-� � i9S oa �
Pnmarypmperry mmm m�mt[ nvme E-mail
Under penaltles of perjury, I hereby certi(y that this Sales Disclosure, to [he bes[ o(my knowledge and belieG is true, correct
and complete as required by IaN�, and is prepared in accordance with IC 6-1.7-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse in(ormation, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
b�/ n,�g fi�lepd.)
'Yf 1 � lJ�a / ��i7C�1
nc:urr Bvyr a� Signc:ureo/Byrr2/Spovx
�nu�u ' r�rher s ��+ a�l-� a.
Fnn[e-0LeqalNomeaJBuyerl S(gnDU¢�H.M;OD/YIIM1� YnntedLryal,VOmeo�Bu��er7/Spouse S�ynOa[e(M4/DU/YYI'1�
�
Digino(SoclalSecunryNumber LastSdigicso(Buyer?/SpouseDnver's Smte GastSDigi[so(Sotial5ecunty
Licens=/ID/O[herNumber Numbe� Litense/ID/Orhe�Num6e�