Homestead_Sparks�
1\DIANA S,�LES DISCLOSURE FOR�1 SDFID SDOID 712862 Page2
D. PREPARER- . - - - - -- - - � � � - � - - � . .
Kimberry A Lewis
Preparer o/NeSale Disdosure form Title
226 W. Bmadway Broativray Title, Inc
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E. SELLER S GRANTOR S -� •
Norma Lee Goedde
Seller ]- A'ame oe appears om m�vrynnre Jacumm[ Srlfer7 � Nvme as uppevrs w mnvewnw dooument
7308 E 750 S
addrese (Number ond Sneeq AEdRCS (A'umberond5veet)
fort Branch, IN 4764&
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Under penalties o(perJury, 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
and complete as requi ed by law,,�nd is-prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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RS GRANT ES -�A ICATION-FORPROPERTYTAX�DEDUCTIONS-.IDENTIfYALLITEMS'THATAPPLY
Mgela M. Sparks
Bvyerl�A'amemappearsor nredavmen� Buyerl-NOmeasap➢�rsoncanvewnredo[ument
7524 E 750 S
dddress (A'um6rr andSVeetJ Addras (Num6e� and Shret)
Fort Branch, IN 4764&
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THE SAIES DISCLOSURE iORM MAY BE USED TO APPLY FOR CERT0.IN DEDURIONS FOR THIS PRO E THAT APPLY.
VFS NO CONDRION _ N8 GOA'DITIOY
x� � 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead
residence? Provide complete address of pri 4. Solar ooling System
residence, including county:
t308 E 750 S � � S. 6Vind Power Device
Addrea(NUmSrrand5vee[) � Q 6. Hydroelec[ric Power Device
Fort Branch, IN 47648 GIBSON � � �, Geothermal Energy Heating/Cooling Device
Ciry.Sm¢ZIPCade Counry.
�:�] 2. Does the buyer have a homescead in Indiana to be � �$� �s this property a residential rental property?
vacated For this residence? If yes, provide ❑ Q 9. �VOUId you like to receive tax sW tements for this
complete address of residence being vacated, property via e-mail? (Provide contact information
including coun[y: below. Pleose see instrucnons%ar more in%rmation.
Notavaila6le in all counties)
Addreas (Nvm6er and SrmQ
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Under penalties of perjury, I hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and coycplete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Proper[y Sales Disclosure AcC. (Note:
Spous`�n( mation, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
bein led.
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Social5ecunryNumber laslidigiGSOjBu}�er2/SpouseDriver's Smte LasiSDigitsajSadclSecuriry
Gitense/ID/OchenYumber h'umber Lirense/ID/OtherNumber
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