Homestead_Bittner (3)�
INDIANA SALES DISCLOSURE FORA7 SDF ID: Pa e 2
D.PREPARER.. ` _ . .
, Christa Kinasburv Closina Manaoer '
Preparer af the5ales OBdmure Fo.m Title
501 Main Street Bosse Title Comoanv
Address (Number and S(m[J
E�moil
E. SELLER S GRANTOR S � - � � � - � �
ChristinP Bittner
Seller 1�,Yame os appmrs on ronveynnredrcument Seller 2- Nameas appmrs on ronveyanre da[ummt
9902 MisN I ane
Addr¢s (Nvmber and StreetJ Addras (Number and5tree[J
Haubstadt IN 47639
Tele honeNumber E-mail Tele honeNUmber Email
U er penal[ies, perjury, l hereby certify tha[ this Sales Disclosure, [o the bes[ of my knowledge and belief, is true, correc[
d�C mplete as re r by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
l '
' nomreofSNler Signa2reo(SNler
Christine Bittner OS111/12
Pnn[edNomtO Sell¢r Si nDOtt(XM/UO '1) PdntedNamea Sel/el 51 nDpU(MM/DD/YYYY�
. BUYER S GRANTEE PLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY -'
Daniel R Bittner
Bvyerl-Nameasappwrsonconvryanred ment Buyer2-Nameasappearsomm�veyuncedxument
1
Address (NUmber md StreetJ Add�m (Nvmberand Street)
' Haubsiadt IN 47639
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E-moil Tde honeNvmber E-mail
THESALFSOISQOSUREFORINMAYBEIISEDTOAPPLYiORCFRTAIYDEDURiO,�'SFORTHISPR LLOFTHOSETHATAPPLY.
YFS \O COVOITIOY \0 COYDIT108
Q ❑ 1. Will this property be [he buyer's primary ❑✓ � 3. Homestead
residence? Provide comple[e address of prim rgy Heatlng/Cooling System
residence, including caunty: ❑
J— S. 4Vind Power Device
Addras(NvmberandSVeet) ❑ ❑✓ 6. Hydroelectric Power Device
� Q 7. Geothermal Energy Heacing/Cooling Device
Ciry.Smte Z/PCade lounry
� Q 2. Does [he buyer have a homes�ead in Indiana to be � � 8� �s this proper[y a residen[ial ren[al property?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide conmct informotion
including tounty: 6elow. Please see instrucdonsfor more informadon.
Not available in all counties.)
Addrecs(NumberondStreet) ��'��'� �OO-O��•O� a��
Ciry.Smre 11PCade Counry
Pnmaryproperryownermnmrtname Email
Under penalties of perjury, 1 hereby certify [ha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social5ecurity and Driver's License/Other numbers are no[ necessary if no Homestead Deducdon is
being filed.)
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SignoNreoJ uyeri °— SignamreofBUyer2/Spouse
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Number License/ID/OrherNumber