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I\DIANA SALES DISCLOSURE FORN SDF ID SDO ID 464482 Page 2
D.PREPARER
Crisla Wallace Typist
PnporerofNr Salu Ditt(asure Form Title
SOS S. E. Martin lu[her King Jc Blvd. Southvrestem Indiana Land rtle
Addrezs(,VUmbnand5veet)
E. SELLER S GRANTOR S � �
Michael David Nhlliams Knsta Sue Wlliams
Seller 1�,�'ame as aFpmrs on conve�vnce dotummt SNIer7 - Name os apymrs an mme�nnre dxummt
1458 W. Rabbit Run 1458 W. Rabbit Run
Address (Number ond S[ree:) Addrezs (6umbe�and Svert)
Haubstatlt,IN 47639- Haubstatlt,IN a7639-
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the 6est of my knowledge and belief, is true, correct
and complete as required by law, and is prepare .�n accorAdance with IC 6-1.1-5.5, "Re�7al� roperty/ S,�ales Disclosure Act".
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S�pnacure of��ler S(qnvmrc af5eller
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� P.'BUYERS GR.4N ES -APPLICATIONFORPROPERTYTAXDE � -IDEN�IPYALLITEMSTHATAPPLY
John D. Miles Julia L. Sirange
. ,appenrsonmmeyvnredorummt Quyer?�A'amevsoppevrs mmqoncedotumrnt
11418 S. Brookview Court ew Court
Address(HUmDerondSbee[J Addrea(�YUmberand5vee[)
Haubstadt.IN 4763g Haubstadt,IN 47639-
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TNESALESDISCLOSUREFORMAfAYBEU5EDT0APPLViORCERTAINDEDUCf10YSFORTNISPROPEN 101'iARiF\ THOSETNATAPPLY.
YES NO COYDITIO\ ES NO CONOITION
x� � 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead
residence? Provide complete address of pri � � 4. ergy Heating/Cooling System
residence, including couniy:
11418 S. BROOKVIEVJCOURT S. Wind Po�ver Device
Address(Numberand5nre[J ❑ Q 6. Hydroelectric Po�ver Device
Haubstadt, IN 47639 GIBSON � � 7, Geo[hermal Ener� Hea[ing/Cooling Device
Ciry•, Srnte ZIP Code [ovnry
x0 ❑ 2. Does che buyer have a homestead in Indiana to be � � 8� �s this properry a residential rental properry?
vacated for this residence? If yes, provide ❑ � 9� Would you like to receive tax statements for this
complece address of residence being vacated, property via e-mail? (Provide mntoct in�ormation
including county: below. Pleasesee instructionsfor more information.
7a58 W. RABB�7 RUN DR. Not available in all counties.J
ede.ess (Numar� cnd sneet] �t �
Haubstadi, IN 47639 GIBSON �%� �3 � // �QQ �C/Qp�-a ��� �
Ciry,SmreZIPCode Caunn ^
Primarypmperryaumer ronmct name E-mvil
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, [o the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse informauon, Social Security and Driver's License/Other numbers are not necessary i(no Homestead Deduction is
being filed.)�,,�y C •' � ��� A A �/I j�, (' �,/
�'`n�1H �/YI� ���-�/ SGN r't'1,�� 1`� l F �JCL� (a �'�('.iR�'lpP ""�Y��j J^`, n'l .�7�
SignaNreo(Bu}�er] Signamreofeuve�2/Spouse
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