Homestead_Bittner1\DI.�\AS.�LESDISCLOSUREFORdi SDFID � SDOID 727123 Fage,2
D.PREPARBR
Samantha Cutsinger
�R<yarer o([hr Scles Dudomre Form DUt
226 W. Broadway Broadway Ttle, Inc.
Address(NumLerand5tnrt)
E. SELLER S /GFLINTOR S
Norbetl E Adler
Srlfer 1- Rume us apyean on mimnm�e Jim+mrnt Srllrr 2� Nume os upyean on �vnvewn�e du ument
280 E 1025 S
Address (NumAe� and SveeQ ROdrt�s (A'umbrr anCS[mQ
Haubstadt, IN 47639-
ie/e haneMunGrr E-mail
Under penalties of perjury, 1 hereby certi(y that this Sales Disclosure, to the best of my knowledge and belie(, is true, correct
and comple[ as rgquired by law nd i prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
�rt�r,-�A.rl-- � �`�
Sigmroreof5ellrr � SipnamreaJSrlhr
N�R��R�r � aoLC�i ;,_;s;i
�
F.BUYERS GRANTEES -APPLICATIONFORPROPERTYTrV(DEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Bryan M Bitlner Megan N Bittner
Buyer 1� Kame ns op�enrs on ronveyon�e davmen: 9uyer? � Nome os nppmo' am m�vevnnre tlxumrnt
a06 E Strain St 406 E Strain St.
Addrea (A'umbrr and StreetJ Addrrss (Numbrr and Strnt)
Ft. Branch, IN 4764& FL Branch, IN 4764&
THE SdLFS DISCLOSURE FOR}� MAY BE USED TO APPLY FOR CERTdIN DEDURIONS FOR TNIS PROPERTY. IDENTIFI' ALL OL TNOSE TNAT APPLY.
YES YO CONOITION YES NO CO\OITIOY
x0 ❑ 1. 4Vi11 chis properry be the buyer's primary ❑x ❑ 3. Homestead
residence? Provide complete address of primary � Q 4. Solar Gnergy Heating/Cooling System
residence, induding county:
280 E 1025 S ❑ Q 5. bVind Power Device
AAdress(NUmbvond5nrevJ ❑ Q 6. Hydroelectric Po�ver Device
Haubsiaat, IN 47639 GIBSON � � 7, Geo[hermal Energy Hea[ing/Cooling Device
Ciry, Sm`e ZIP CoCe Counry
��] 2. Does the buyer have a homestead in Indiana co be � Q 8. Is this property a residential rental property?
vacaced for this residence? If yes, provide ❑ Q 9. 4Vould you like to receive tax statements for this
mmple[e address of residence being vacated, property via e-mail? (Provide conmct informotion
induding county: below. Please see instructions%r mare in�ormation.
Not available in all counties.%
Addresz (NUrn6rr und5ueer)
Ciry.SmreZlPCa1= Counry a�-�9:3� yda e�o er� 9 oa�/
I'dmarvproperry mmo mr.ma nume E-marl
Under penalties of perjury, I hereby certify tha[ this Sales Disclosure, [o the best of my knowledge and belief, is [ne, wrrect
and complete as required by IaN•, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary i( no Homestead Deduction is
being filed.
iJ�l/1F /�� �I:IfiWlLt/ ♦ i 1 �
Signa reo B �erl , S�gnamre� JRvyerl/Spovx
�j�iu„ /�1 �, tliir� //-/S-// M i� V3ii-I�he.r' • � �• �� �
Pnn�