Homestead_Dewig (3)\\
1\DI.��ASALE$DISCLOSUREF'OR\I SDFID SDOID . 759474 Pege2
..., _ . .._ . ,_ , .._ . �.;. -� �.� --+ 'y£- `_ - _ .
�D:�,P.REPARER-.' -= _"'..�- .�_ _ - '.....,
'Gmberi A. l.ewis Office Manager
rtparerofNe5af80iulowre£orm Tf�°
226 W Broadway Broadway Title Inc
Address (Number ond Sheet) Company
Princelon, IN 47670-
Eric J. W lkas
Seller t� Nume as eppwrs on <vnveyvnce dorummt
3270 E 50 S
Address /Number a+W Saeet)
Princeton, IN 47670.
�
Under penaldes of perjury, l hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
a�ompletg�as reqatred by law, and is prepared in accordance w� 6-1�•S.5 ",cp�LBr.n{Ler`cy Sales Disclosure Ac[".
= APPI:ICATIONFOR PROPERTY T
�m�dS�p�aLfmnve�vnredocumen� \ �
\
'724 S. Washington St.
Address (Number a nd S V er�f
Princeton, IN 47670-
�:iN.Smre.andZlPCade , _
THE SALES OISCLOSIIRE FORM MAV B¢ USED TO APPLY FOR [ERTAIN DEDURIOHS FOP TNIS
\'FS NO CORU�nun
x0 � 1. Will this property be the buyer's primary
residence? Pro��de complete address of primary
residence, including counry:
3270 E 50 S
Addr� (XUmber and Saee:)
Princeton, IN 47670 GIBSON
Ciry.SmuZ1PCaEe Caunry
�� 2. Does the buyer have a homes[ead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (A'umbermdSVreQ
Ciry, Smte Z1P Code Caunry
- ZZ—IZ
L.
124 S. Washingion St.
Address (,Yamber and SvretJ
Princeton, IN 47670-
Ciry, Smte, and ZIPCOde
� n(G ..
OF TNOSE THAT APPLY.
� 3. Homestead
� eating/Cooling System
� Q S. Wind Power Device
� Q 6. Hydroelectric Po�ver Device
� Q 7. Geo[hermal Energy Heating/Cooling Device
� Q 8. Is this property a residential rental proper[y?
� Q 9. Would you like to receive tax statemen[s for this
properry via e-mail? (Provide contact informntion
below. Please see instructions for more in%rmation.
Not availa6le in uU counties.J
0210- la -io- yoo _ooy��?S-oa�
o .................e...............�,.r,.....��,.. E�moil
Under penalties of perjury, I hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is we, correct
and comple[e as required by law, and is prepared in accordance wi[h IC 64.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spnuse informarion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
hainv FIPd] . _
o(a�yen
�jA1't .)J'1, .�WiC� �-�ld'fd
' Pnn[edLryalNameofeuy'erl SignDa[e�MM/00/YYfY]
�
License//D/Othe� Number
�Ml'lLM1L�� ,llt.l,.�
Signv�vrea(Buyrrl/Spavee
,�rnG+ncAa� L l7eW;c� S�aa�l�_
LastSdigitco%BuyerT/SpouseDnver's Smte LaslSD(gi[sofSacialSecunry
Number Litense//D/O[herNumber
�