Homestead_WeberI\UTAXASALESDISCLOSUNEFONJI SDFID SDOID �Z��ZZ Page:
�� D.PREPARER
� Saman�na Cu�sinqer
Reyarc� oj[he Safrf Duclasvre Farm Ptle
226 W. Broadvray Broadway Title, Inc.
Add��s(NumGeranJSUeet) Compony
Pnnceton, IN 47670.
E.SELLER S GRANTOR S
KimbeAy J Smith
Seller]-A'umeusnpyevnonaun.�r�vn�eJu�'umm� Seller2�Nemeosapyeerson� _ �edooumen�
1023 E 250 S
Address (Numlrer vnd Sn'eet) Addrtss (A'umber anJSveeQ
Princeton,IN 47670.
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Under penalUes of perjury, 1 hereby certi(y tha[ this Sales Disdosure, to the best of my knowledge and belie(, is true, correct
and co ' le[ as r quAred by �e, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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F.BUYERS GRANTEES -APPWCATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Lrtrothy W Weber
Bu��r� 1� n'vme ns oppmrson aunvevonce dorumen: Bu'ver? - Name os nppears am m�vnnnce dorumen[
2503 E 50 N
AC7iess (Kumeer and5vxy Address (Number and Strm�)
Princeton, IN 47670.
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THE SALES DISCLOSURE FOR�I MAY BE USED TO APPLY FOR CERTAIN DEDUCI'10115 FOP THIS PROPERTV. IDENTIFI' ALL OF TNOSE TNAT APPLI'.
\'ES NO [OYDITION YES NO COAOITIOY
x❑ ❑ 1. 4Vi11 chis properry be che buyer's primary .� �� � 3. Homestead
residence? Provide complece address of primary � Q q. Solar Energy� Heating/Cooling System
residence, induding munty: ❑ �
7023 E 250 S 5. Wind Power Device
AAdrm(NUmlrrand5trn[) ❑ Q 6. Hydroelectric Power Device
Princeton. IN 47670 GIBSON � � 7. Geothermal F.nergy Hea[ing/Cooling Device
Ciry, Srure ZIPCoCt Counry
XQ � 2. Does the buyer have a homestead in Indiana m be � � $� Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. 4VOUld you like to receive tax swtemencs for chis
complece address of residence being vacated, properry via e-mail? (Provide rontnct in(ormotion
including munty: below. Please see instructions�or more in%rmation.
2503 E 50 N Not availabfe in all rounties.)
Addras (NUm.6a anAS'vnr)
Princeton, IN 47670 GIBSON ��—I a a�� �%�-�` •�Ct �' Q a�
Ciry.S[a[e ZIP Code Covnry G'�
PrimaryP�Ferq awner mnmrt numr E�mail
Under penalties of perjury, I hereby certi(y that this Sales Disclosure, to the best of my knowledge and belie(, is [rue, corzec[
and complete as required by law, and is prepareA in accordance with IC 641-5.5, "Real Properh� Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary i(no Homestead Deduc[ion is
being filed.]
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