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Homestead_Miller (7) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1806670 Page 2 D.PREPARER_ - Karyn McIntyre Mortgage Loan Closer Prepared of the Sales Disclosure Form Title 4401 Theater Dr. Evansville Teachers ECU Address(Number and Street) Company Evansville,IN 47715- 812-477-9271 1141 kmdntyre @etfcu.org City,State,and ZIP rode Telephone Number E-mail "E.SELLER(S)/GRANTOR(S)-r; �' - '_.- 7_, _ ; - .-- - _ _- _ ..- -_ Regina L Miller Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2682 N Miller Reed Ln Address(Number and Street) Address(Number and Street) Princeton,IN mail Under penalties of perjury,[hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by laaww,andd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (,� tSgna )Seller Signature of Seller \ � / f)) crno PnvMflnrT =. c;ra Mr 'no',mg th4.frel*imp nit-". n n. rv,.," w.+ "n F.BUYER(5)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONSZIDENTIFYALL ITEMS-THAT APPLY�ir .. - Philip W Miller Royer I-Name as appears on conveyance document Buyer 2-Name us appears on conveyance document 2582 N Miller Reed Ln Address(Number and Street) Address(Number and Street) Princeton,IN mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE TH YES NO CONDITION YES NO CONDITION 1`J',-i■1® © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/CoDling SKst2T s APR residence,including county: ❑ © Y(( 00 CVUIt 2582 N MILLER REED LN 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Poiver D 'ice Princeton,IN 47670 GIBSON ❑ ❑ 7.Geothermal Energy Ha vice City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this propertoj3SONhMl TYp �c�yOR 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. Not available in all counties.) Address(Number and Strret) ah- 05-30- /too- f9 [. 33/1-C62'7 liry,State ZIP Cade County Primary property owner contact name E- Number �� IhD1ANA SALES DISCLOSURE FORM SDF ID: , Pa e 2 `�D'PftEPAF2ER��"�"'.��;#'ef�'c�� .�y*="�h�'.�G='.z�""'��y'�e��'.��'�t- �-�-�o-�.: '_�..""`� crer o/NeSnla D'utlam�e Form TiJe James G. McDonald, IIZ Attorney at Law AdGr¢s(Numberand5tr¢CJ Company 120 S. Main McDonald Law Office Ciry, Smtt o�d 2/PCode °E�SEtitiER S''.GRANTbR S ;. -. - _ :�`"� Paul E. Miller and Elaine A. Miller Selfer ]- Name aa appean on cwvryance doaumenc Sellel2 - Name as vppears on cvnvryance documm: 412 Roosevelt Avenue AdCrecs (Nvm6erand StreetJ Address (Number and StreetJ Princeton. IN 47670 Ciry. Smte, E-mail iefruhoneh'umber f�nail Under penalties of perjury, 1 hereb}� certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and comple[e as required by law, and is prepared in accordance wi[h IC 1-5.5, "Real Proper[y Sales Disclosure Act". �('�,.�.Q, f_ ��PP�-t. X �1�c�, Cf ��,� Sig.aamreo(Seller � Signaturto/Seller PAUL E. MILLER �O -/ j'(/�j' ELAINE A. MILLER �p -�S - p� Pnr.tedNameo te MM/DO Pnn[edNUmeo(Srlle� SionDv:e M.v/ODpYrri �F.:iB � S `,GRANTEE S�� `;-..#AP,PL'IGATION4F,OR�P,ROE - . �� A\iDED.UCT(ONS.=iIDENTiFY:RtLiITEMS THATa�APRliY�','''; R� �-"ETT?': ;,� Phili W. Miller and Re ina L. Miller Bvya7 � Name as appears on romryonre document Buyc I- Name ar appmrs on ronvryance dacummt 2 N. Miller Road Lane AdCr¢s(A'umbcrun . Addreu(Numberand5vee[) �inceton, IN 476J0 E-mail Tefe honeNumber E-mvil THE 5.1LES DISROSURE FORFf MAY 8E USED TO APPLI' FOR CERTAI� DEDUCf10 VS FOR THIS PROPERN. IDENTIFI' ALL OF THOSE THAT APPLI'. YFS 10 CONDITIO\' I NO CONUITIOR [� ❑ 1. N'ill this property be the buyer's primary � ❑ 3. Homestead residence? Provide complete address of prima 4. Snl [ing/Cooling Sys[em residence,including county: r. ❑ v0 5. N md Power Device AdEras(NVm6erand5vee:f ❑ � 6. Hydroelectric Power Device [iry,5ace21PCode counry � Q�� Geothermal Energy Heating/Coo)ing Device [� ❑ 2. Does the buyer have a homestead in Indiana to be � � $� �s this proper[y a residential ren[al proper[y? vacated for [his residence? 1(yes, provide ❑ Q 9• Would you like to receive rax scarements for this complete address of residence being vaca[ed, property via e-mail? (Provide contoct informocion indu� din 6e(ow.Pleaseseeinstructions/'ormoreinformation. 27��jj /V .,��j Notavailable in all muntiesJ . �� rNui vl2°�-"" � G{ 7,S6G �, Eua.r ��- �-�� a 3� - �. �/. �335L0� % Ci.}t Smu ZIPCode Counry Pnmaryproperryownerronmc[name f-ma(1 Under penalties of perjury, I hereby certify tha[ [his Sales Disclosure, [o [he best of my knowledge and belief, is [rue, correct and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note: Spouse in(ormation, Social Security and Driver's License/Other numbers are not necessary i(no Homestead Deduc[ion is being Fi SignalreoJBvyrr Signa rcofBuyed/ ovse o • •u U•/S-d �d Lastidigivo%Buyer]Driver's Smte LastSDigiaa(Social5etunryNumber LasiSdigitsoJBuyer2/SpouseDnver't Sm[e Las[5 igiao/SacialSecuriry Lic=rue/lD/O[herNum6er Number license/ID/O[herNum6er