Homestead_McCandless (2)INDIANA SALES
S Cutsinqer
Prepara o/the5ala DWmure Form
Anhur I . Richardson
Shcer7 - Name as oypmrs w ronvryanm dxummt
Broadwav Title Inc.
Campany
Tdephone Nvmber E-mall
Marsha L RicharAmn
Sellel2 � Name as appears om m�vqance docvmen[
494A F Statr Rd fi4 49dA F Statr RA Fi4
Addreu (Num6erand Strat) AdErev (NUmber andSRttQ
PrinrPton IN 47670 Prinreton IN 47670
C/ry. Smtq and ZIPCode C/ry.5mtq and Z/PCode
E-mail Tde oneNumber E�mail
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and tomplete as req 'yi{ed by law, and is prepared in accordan[e with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Bv}v 1� Name af appean an
Princeton IN 47670
Ciry, Sm[C andZlPCode
Buyc 2 �
Princeton IN 47670
Ciry, Smtg and ZIP Code
THE SALFS DISdOSURE F02M F1AY BE USED TO APPLY FOR CEItTAIY DEDURIONS FOR THIS PROPFAIY. IDENTIFY ALL OF TNOSE THAT APPLY.
�J '� 1. Will this property be Che buyer's primary
residence? Provide comple[e address of �
residence, induding county:
Addirn (Numbe� and Strttt)
Princeton IN 47670 Gibson
[Iry, Smtt Z/PCode Covnry
Q � 2. Does the buyer have a homes[ead in Indiana to be
vacated for this residence? If yes, provide
comple[e address of residence being vata[ed,
including county:
1617 Brentwood Dr.
Addras (NUmber ond Streeo)
Princeton,IN 47670 Gibson
[Iry, Smtt Z1P [ade Counry
HO CONDRION
Q� 3. Homestead
Heatlng/Cooling Sys[em
5. Wind Po�ver Device
6. Hydroelectric Power Device
❑ ❑J 7. Geothermal Energy Headng/Cooling Device
� Q 8. Is ihis property a residentlal rental property?
❑ ❑ 9. Would you like to receive [ax sta[ements for [his
property via e-mail? (Provide rontoct information
below. Please see instructians for more in%rmntlan.
Not availa6le in all coun[ies.)
aG,/�?-o��-�dv-oo�.��� -�� 7
E�mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to [he 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 Distlosure AM". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
being filed.)
5lgnoarc o/Buyerl Signaare ofBUyrl2/Spouse
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