Homestead_Dilger (3),'ISUTA���ALESDISCLOSURF FOR�I SDFID SDOID 717693 Page?
b.PREPARER
Emily Smith Closing Agent
Vreparer uf �he Sala Dixlosure Form Title
605 S.E. MLK Jr., Blvd. Southwestem Indiana Land Tiile Inc.
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Cig. Smm, nnd Z/P Code TelephoneT'urnber E-moil
E. SELLER S GRANTOR S
Tony L. Sanders Mn M. Sanders
Szller 1- A'nme os apprars on rom�e�vnre dxumrnt Seller 2� Nnme ns aAf�rs on ronreyanre dxument
705 Hummingbird Drive 705 Hummingbird Drive
Address (h4+mbe� and Sbret) AdArcss (Number and5<rmt)
Brownsburg, IN 46772- Brownsburg, IN 46712-
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, [o [he best of my knowledge and belief, is vue, correct
and comple[e as required by 1 w, and is p pared in accordance wi[h IC 6-11-5.5, "Real Property ales Disdosu e A P'.
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F ' NTEES -APPLICATIO�FORPROPERTYTAXDED TIFYALLITfiMSTHATAPPLY
I Kevin M. Dilger I Abby K Dilger
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7175 aHoneysuckle Lane ysuckle Lane
Addre.a (Numbcr andSOeeQ Addre.ca (Num6er onASveet)
Haubstadt, IN 47639- Haubstadt, IN 47639-
TNESdLESDISCLOSUREFORNAtA1'tlEUSEDTOdPPL\'FURCERTAI\'OEDUCfIONSFONTNISPROPENTY. LLOFTHOSETNdTAPPLY.
YES �0 LOKDITI08 ES NO CO,�'DITIOY
x❑ ❑ 1. 4Vill chis propercy be [he buyer's primary �x � 3. Homestead
residence? Provide mmplete address of i rv Iar$ ergy Heating/Cooling System
residence, induding county: ' ❑ �
71752 S. HONEYSUCKLE LANE 5. Wind Power Device
.1Cdrus(Nom6eranJStreet) ❑ Q 6. Hydroelec[ric Power Device
Haubstadt, IN a7639 GIBSON � � 7. Geothermal Energy Heating/Cooling Device
Cip�. Sm[e "/.lPCafe Ca�mrn
Q � 2. Does the buyer have a homestead in Indiana ro be � Q 8� Is this property a residential rental properry?
vaca[ed for this residence? If yes, provide ❑ Q 9. l4'ould you like to receive [ax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact informotion
including toimty: below. Plense see instructions for more informatinn.
204 S. FIFTH AVENUE Not avnilable in all counties.J
AJdrut (Numher und Slrcer) �1
Haubstadt, IN 47639 GIBSON „/ ��� /�� `3�� � vQ�. 3i3 - o aS�
Ciry.Sm�eZfPCode Counry 14 �
Primarvpmperq� ux•r.er ronmct nnmr E-mail
Under penalties o(perjur}', � hereby cer[i(y that this Sales Disdosure, tu the best o(my knowledge and 6elief, is true, correct
and complete as required by law, and is prepared in accordance �vi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary i(no Homestead Deduc[ion is
being filed.)
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