Homestead_BakerI\DIA\ASALESDISCLOSURE FORD1 SDFID SDOID 715823 Pa¢e2
D.PREPARER '
�Kimberty A Levris
AeyarnoJchrSafrsDiulosvreform Title
226 W. Broadway Broadway Title, Inc.
adm�, �x„m�. o,�e sveeq
E.SELLER S /GRANTOR S
James M. Nhlliams Mariyn S. VJilliams
Srller ]� A'ame vsap{rean on �vnveynnir Ja'umen� $11n�2 - Numr ns aPVA^' ��timnvme davmm�
1519 VJllowbrook Dc 7519 Willowbrook Dr.
Addrcu (NumAer onASoeer) AGdrcss (NUmber and Svrey
Princeton, IN 47670- Princeton, IN 47670.
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E�mail
Under penalties of perjury, 1 here6y certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, � is prepared in accordance �vi[h IC 6-1.1-5.5, "Real Prop rty Sales Disdosure Ac[".
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ia at reofSNlrr Sgnamreof5ell .
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F. BUYER S GRANTEE -APPLICATION FOR�PROPERTY TAX DE S- IDEN L ITEMS THAT APPLY
Brian J. Baker Jamie 5. Baker
ByrN�Nameaeappmrsomm� naEav , euyer?�Nam npym nmmewnredorumrnt
259 E 795 S 259
. �and�� � Cdrm(.YUm6erandSnretJ
Fort Branch, IN 4764& Fort Branch, IN 47648-
�Cig�.Smte,andZlPCade �
THE SALFS DISCLOSURE i0RA1 MAY BE USED TO APPLY FOR CERTAIN OEDURIONS FOR TNIS PROPERTV. IDENTIFI' ALL OF THOSE THAT APPLV.
YFS NO COYDITION I YFS NO C01:DITIOY
x❑ � 1. Will this properry be the buyer's primary Q ❑ 3. Homestead
residence? Provide romplete address of primary � Q 4. Solar Energy Heating/Cooling Sys[em
residence, including munry:
7579 WILLOWBROOK DR. ❑ Q 5. 4Vind Po�ver Device
Addrrn(NumbrrandSVeaJ ❑ Q 6. Hydroelectric Power Device
Princeton. IN a7670 GIBSON � � 7, Geuthermal F.nerg,y Heating/Cooling Device
Cip�.SmteZIPCaCe Counn
XQ � 2. Does the buyer have a homestead in Indiana ro be � � 8. I5 this properry a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. 4VOUld you like to receive tax scatemenu for this
compleie address of residence 6eing vaca[ed, property via e-mail? (Provide contnct informotion
induding county: below. Plense see instructions%r more information.
259 E 795 S M1'ot available in ali mun[ies.)
Addrm(NUmbrrar.dSVre:J �
Fort Branch, IN 476a8 GIBSON (� �.. ,a 'Q 6' �(Qa '�� '� 6� Qa
City.S<n�eZIPCNe Counry
PnmarvyroVerp•o�msrmr,mafmme l�mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belie(, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information,Secia+S rity and Driver's License/Other numbers are not necessary if no H mestead Deduction is
bein �
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