Homestead_Bittner (4)INDIANA $ALES DISCLOSURE FOENt SDF ID: Ps e 2
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shecari Southwell MortQaRe Loan �fficer
Prcparero%fhe Salu Dlulorure Farm Ti�� t�
Fvansville Teachers FCU
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;E SELL'ER $'.GRANTOR S . _ : • - ?�"-���'".Y-a,"`3`s�'� �� �>'r`�'--��'�,'''�7�".•��"?��'-�3:t�i-`�:�
Lisa M. Bittner
Selier 1� Namt ar appnn on ronvryonce dotvment Seller 2- Name at appeors on tanveyance dacument
2428 West 1000 South
Addrev (Num6tr and Svn[) Address (NUmbtr ondStreet)
Haubstadt IN 47639
ieie honeNum6er E-ma/l Rie haneNum6rr f-mnll
Under penalttes of perjury, ! hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple as requl ed by w, and is prepared in accordance with IC 6•1.1-5.5, "Real Proper[y Sales Disclosure Ac[".
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5{qnamreo/ er S(gnaarro/Selier
Lisa M. Bittner 9 24/10
Prin o d(er 51 nDate NM/UD PdntedNameo SeOer SI nDa[e NA/DO
`.: IFYER S' GRANTEE S a APP.LIE9TION.F.OR''PROPBRTi1't'FAXDEDUC'FIONS�[�ENTIFYfALL"ITEMS;THAT'AP,P.�Y^_'Y°�7.�a�ra`='�� � u
Eric J. Bittner
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outh
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Tele honeNumber E-mall
THESALFSUISCLOSURBFORMMAYBEUSEDTOAPPLYFORCERTAINDEDUCf104SF PROPERTY.IDENTIFYALLO ¢THATAPPLY.
YES NO [ONDITION YES NO CONDITION
� ❑ 1. Will this property be the buyer's primary �J ❑ 3. Homestead
residence? Provide complete address of prim {�� eating/Cooling System
residence, including county: �
2428 West 1000 South 5. Win Power Device
Addrw(Numberand5treetJ ❑ � 6. Hydroelectric Power Device
v�.,r.�r�.�r Tu t�(ygg Gibson � Q 7.GeothermalEnergyHea[ing/CoolingDevice
Clry,SmteZlPCode Counry �
❑ �] 2. Does the buyer have a homestead in Indiana to 6e � $• Is this property a residen[ial rental property?
vacated for this residence? If yes, provide ❑ �( 9� Would you like to receive Wx statements for this
complete address of residence being vacated, propercy via e-mail? (Provide contoct injormation
including county: below. Please see instructions for more in%rmation.
Not available in all counties.)
Addresr (Num 6er and Stre et)
c�G -/�-35 /�0-�0% �a�-oa�
Ciry, Smre ZIP Code Caunry
Pn'maryproperryownerconmc[name E�mafl
Under penalties of perjury, l 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 with IC 6-1.1•5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Soclal Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) r _ r^ (1 �
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oNre o/BuyeA Sfgnumre of Buyvl/Spoux
i
ic J. Bittner 9/24/10
LastShcgiGSO/Buyer7Dnveri S[ate LastSDigifso/Social5eruriryNumber LastSdigi6o�Buyer2/SpouseDriver's Sfa[e Last50igiGSO%SocialSecunty
Llcense/ID/OtherNum6er Num6er License/ID/O[herNumber .