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Homestead_Martin (26)INDIANA SALES DISCLOSURE FORM SDF ID: Pa�e 2 D.PREPARER . Preparerof rhe Sales DBdomre Form 219 N. Hart St.. PO Box 13 res (Number and S�reet) . ceton IN 47670 Ciry. Smte, and ZIPCode E. Mvrlla F Robb Revocable Living Tnist did 15(h day of Nov. 199ft Seller 1- Name as appears am m�reyance documeno dddress (Number and SveetJ Cip•, E-motl rde • Hall. Partenheimer & Kinkle E-moil Seller? - Name as oppeors on ronveyanre dxument dddress (Numberond StreetJ CiN. Smte. and ZIP Code Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best o( my knowledge and belief, is true, correct and complete as re red by law, and is prepared in accordance with t -1.1-5.5, "Real Property Sales Disclosure Act". , o�.l .�. ��,� ���odii��Q9 i�' 9gna� Siggamre afSeller FOR PROPERTY TAX Buyer 1 \ ♦ '^ � dddress (Numberand Street�� �,(S3 �. /N� erry S-� Rate, nnd Z1P Code `�,. os�,.��h ZN y76�1�' � Name o Seller Slan Dare JS- IDENTIFY S THAT APpL}, Buyer I- Name os appevrs on AdAress(YUmberond5treetJ ' F � . F3caru.�, , �-N �-17Co�{ i Teleohone Numbe� E-moil THE SALES DISCLOSURE FORM MA1' BE USED TO APPL}' pOR CERTAI9 DEDULTIONS FOR TH IS PROPERTY'. I DE.\'TIFY' ALL OF THOSE TNAT APPLY. YFS RO ✓Q � I. Will this property be [he buyer's primary residence? Provide complete address of E residence, induding counq�: fiO4 F M�ilbPrrv Street dddres (Number and Street) Fort Branch IN 47648 Gibson Gn�, Smte ZIP Code Counry � ✓Q 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide comple[e address of residence being vacated, induding county: Address (Number ond Street) Ciry, Srnre ZIP Code Counry ✓Q � 3. Homes[ead Heating/Cooling System S. Wind Power Device 6. Hydroelectric Po�ver Device 7. Geothermal Ener� Heating/Cooling Device � Q✓ 8. Is this property a residentlal rental property? � �✓ 9. 4Vould you like to receive [as s[atements for this property via e-mail? (Provide conmct in%rmotion 6elo�v. Please see instruc[ions far more injormation. Not ovailable in all counti s.) c�� /9-�9- /o�-�e�. �.�s- a�� Trenton Martin 8 Kara Epperson name 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 wi[h IC 6-1.1-5.5. "Real Property Sales Disclosure Act". (Note: Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is be�filed.) _ � /s%,�" i�n � n°_ � %�'l ,�.�.,,v� mre o/BuyeN S�_mre oJBuyer?/Spovse I^ %�y (� Trant.,n F Martin d- as �� Kara T F�Pr�on �/ `—v'v Prin.edLegalNameo%Buyerl Buyerl Driver's Stnfe Las[SDigiGSafSocial5ecurlryNumber Las[Sdigi[so(Buyerl/SpouseDriver's Smte Last50igiGSO%SociolSecurity License/ID/OlherNumber Number License/ID/OtherNumber