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Homestead_Keil (4)INDIANA SALES DISCLOSURE FORDt Dan L. Reeves Preparer o([he Salu Disdosure Form 116 S. Main St. 'recs (Number and StreetJ �nceton, IN 47670 � City, Smtq md ZIP lode Julia A. Meyer PR Fstate Ralnh Wonds Seller 1- Name as appears an ronveyanre documen[ 208 N Ar[pm Ct Addres (Number and Street) Huntingbura IN 475d2 - , TiUe , .• . ���9 E-mail - _ ... . . _ _ . � :`s�_. � ' ' Seller 2- Name as appears on conveyance docvmen[ Address (Number and Street) Ciry, Smre, and ZlP Lode Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct an/�d co/m�plete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". �IAX � �� 1 � IF.U//� �iRA�tswe.� • naNre of5elfer Signa6�re ofSeller e Addrecs (Number and So-eetJ THE SALFS DISCLOSURE FORN MAY BE USED TO APPLY FOR CERTAIY DEDURIOYS FOR THIS ✓� � 1. Will d�is property be the buyer's primary � residence? Provide complete address of primary residence, induding county: ��aF F ims � Address (A'um6er and Stree[) Haubstadt IN 47639 Gibson City,SmteZl Code Counry [J � 2. Does [he buyer have a homestead in Indiana to be vacated for this residence? If yes, provide complete address of residence being vacated, including county: Addrea (Number md StreetJ City.Smce ZlP Code County � � I� � � � ❑✓ �✓ �❑ � EMS THAT APP.tiY.�.' APPLY. 3. Homeste 4. Solar Energy Hearing/Cooling Sys[em S. Wind Power Device 6. Hydroelectric Power Device 7. Geothermal Energy Heating/Cooling Device 8. Is this property a residentlal rental property? 9. Would you like to receive tax statements for chis property via e-mail? (Provide contoct informotion 6elow. Please see instructions for more information. Notavailable in all counties.J /� i I/ ii � — nome E-mail Under penalties of perjury, 1 hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correct and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note: Spouse information, Social Security and Drivec's License/Other numbers are not necessary if no Homestead Deduction is bein filed.) � _ � oireofBuyerl g mreofBuyer2/Spa L �� - 'ol� i`7� 'b