Homestead_Hull (5)INDIANA S�LES DISCLOSURE FORM SDF ID: Pa e 2
,.D�'FREPARER �'� 4.`�:L__ � u .. .. �wt �.."�rx�';t: '':��,+s�`r v �y �,r,r�+�-A��+c 4 �_.,��4.�,.,rs:�z' .ev,F �� `�.?�aw -c R;-.- , .r.-::
Closing Agent
porer o(the Sales Dittimvre Form Title
�7820 Eaqle Crest Bivd Ste 201 Reoional TiOe Services. LLC
- Addreu(Numberand5tree[J Campvny
:,ErSELGER S GRANTOR S _; ._� u_ : -t^<, * � . a�', z �';T i
B�+noe Otake Trustre Sonoe Otake Revora6le Trug
Seller ]� Name u appcnrs an ronvryanre documen[ Selfer 2- Name as apptars on romeyantt docvment
?795 SW WhRe Church RA
Address (Nvmberand Sveeq Address (h'umber and5nmt) '
Prinrnron. IN 47670
Gry, Srn[e. andLP lode Ciry, Sm[e, and ZIP lade
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Under penalties of perjury, 1 hereby cer[ify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ad".
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SonoeOtake Trvstee �'�r—o��r�
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�,�F: BUYER 8� GRANTEE S�r1PPCICATION��FOR`PROPERTY=TAX�DEDUGTIONS;�}IDENTIF.Y'ACC ITEMS:THAT�APPLY,•� � "":: i
Robert Cody Hull N�ry_Denise Hull
Bvyer 1� Name as appears on conveyanct documenl Buyer 2- h'ame as appears am m�vry�anre dxummt
404 N West Si 404 N Wesi St
Addrecs (h'vmbrrvnd 5[reetJ Addrcss (Number mdSUee[)
Princeton. IN 47670 Princeton. IN 47670
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIY DEUUGTIONS FOR THIS PROPERTY. IDEVTIFY.LLL OF THOSE THAT APPLY.
5'FS NO COSDITION � YFS ,�'0 COYDRIO\
�� 1. Will this properry be the buyer's primary �� 3. Homestead
residence? Provide comple[e address of primary � � 4. Solar Energy Heating/Cooling System
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J�N ll,�� �`� `/(lJt ✓ 5. Wind Power Device
�jddS¢ss(Nu/^berand5veet), ❑ ❑✓ 6. Hydroelectric Po�ver Device
F�%l /�/�(�i"dn ,� �7i�7�! ❑ ❑✓ 7. Geothermal Energy Heating/Cooling Device
Ciry,St tcZIP e Counry�
�� 2. Does [he buyer have a homes[ead in Indiana [o be � � 8� �s this property a residential rental property?
�' vaca[ed for this residence? Ifyes, provide ❑ ❑✓ 9. Would you like to receive [ax statements for this
complete address of residence being vaca[ed, property via e-mail? (Provide contact in%rmadon
including county: below. Please see inshvctions for more information.
Not available in all munties.)
Addrest /Num6rr end Sveee)
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Cry, Smw LPCode Covnry
Primaryproyerryw�nerconmRname E.mvll
Under penalties of perjury, I hereby certify tha[ [his Sales Disclosure, to the bes[ of my knowledge and belie(, is true, correct
and comple[e as required by law, and is prepared in accordance wi[h IC 6•1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
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alSecurity
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