Homestead_McCoyINDIANA SALFS DISCLOSURE FORM SDF ID: Pa e 2
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Val J Fleia Attomev at Law
Preparer of rhe Salu Disc(osure Farm '��e
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ddrm(Numberand5treet) Lompany
Petersburq IN 47567 (
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Addrea (Number and Sveey Address (Num6er and Street)
P ±�rssfl IN a7567
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Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Ac[".
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� Addren (Num6rr and StreetJ Addres (Number and Sbeet)
Pnnceton IN 47570
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TNESALFSDISCLOSUREFORMMAYBEUSEDTOAPPLYFORCERTAINDEDUCTIONSFORTHISPROPER ALLOiTMOSETHATAPPLY.
YFS NO COYDITIOV YFS NO CONOIIIOY
Q � 1. Will this property be the buyer's primary ❑� ❑ 3. Homestead
residence? Provide complete address of primary eatlng/Cooling System
residence, including county: � � 5. Wind Power Device
o�F cn th 'i50 We=t
Addrss(17umberandStrer[J ❑ Q 6. Hydroele[tric Power Device
Princeton IN 47670 Gibson � � 7. Geo[hermal Energy Heatlng/Cooling Device
[iry, SmteTJPCod< Counry
� Q 2. Does the buyer have a homestead in Indiana [o be � �$• �s this property a residential rental proper[y?
vacated for [his residence? If yes, provide ❑ Q 9• �Nould you like to receive [ax sta[ements for this
complete address of residence being vacated, proper[y via e-mail? (Provide con[act infarmatlon
including county: below. Please see insdvctions for mere informaf.ion.
Not availa6le in all coundes.)
Addrecs (NUm berond Stree[)
Ciry,SmceTJPCade� 4' �'//�'�OO'�/�0���7
Coun
Rimaryproperq•ownermn[aetname E-mail
Under penalties of perjury, I hereby certify tha[ [his Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and compiete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spo�se information, Social Security and Driver's License/O[her numbers are not uecessary if no Homestead Deduction is
being filed.)
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License/ID/OrherNumber Number Litense/ID/OrherNum6er