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Homestead_GeorgesC C 4 INDIANA SALES DISCLOSURE FORM SDF ID SDO In 679642 Page? D. PRE PARER Samantha Cutsinger ' Preparero /the Sales Disdamre Form Title 226 W. Broadvray Broadway Title, Inc. Address (Number and Street) E. SELLERS GRANTORS William I Ross Rosanna I Ross S,Iler I -Name m'nppean'on ronvruvne Jacument Seller 2_ Name us u,p rs un ronvuwnre document 10144E 1255 10144E 125S Address (Number and Street) Address (Number and Sweet] Oakland City, IN 47660- Oakland City, IN 47660 - Under penalties of perjury, 1 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 Disclosure Act ". nve of Seller T Signngro amre oJShcer r KR<hard MGeorges EE S - PPLICATION FOR PROPERTY TAX D S— ALL ITEMS THAT APPLY Erin B Georges n conveyance document Buyer _ rson ronvevrnce document 9520 E 350 S 9520 E 350 S Address (Number and5treet) Address (Number and Street) Oakland City, IN 47660- Oakland City, IN 47660 - YES NO CONDITION ITS NO CONDITION ❑x ❑ 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead residence? Provide complete address of primary ar -nergy Beating /Cooling System residence, including county: ❑ S. Wind Power Device 3762 S 650E ❑ ❑ 6. Hydroelectric Power Device Address (Number and Street) Francisco, IN 47649 GIBSON ❑ © 7. Geothermal Energy Heating /Cooling Device E) © 8. Is this property a residential rental property? Got Stare ZIP Code county Q ❑ 2. Does the buyer have a homestead in Indiana to be 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 contact information including county: below. Please see instructions for more information. 9520 E 350 S N t available in all counties.) / 07 -00� O- . /3- aq_3oo_00/ 6 Add., (Number and Street) Oakland City, IN GIBBON r Primary property osmer. n[ar[ name P -mail Ciry, Smte ZlPCOde County Under penalties of perjury, I 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 Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is beI Hle J ,, A D_ _ da rr aJBvyerl Signature o/B erg /Spouse - / e 11 23 - Ji %c / a , J . C- c 0 ge s Jz, Z / oZ3 /c� o YI . lM