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INDIANA SALES DISCLOSURE FORM SDF ID: _ Pa e 2
_D. PREPARER _ ;� . = : • ,. , :' ?'- a_: '` k= . ., , , ,�;.`.t.
„_an M. Blanton, Esq. Attomey
Reparero/lheSUla OisNosure Form Title
� 20 NW ist SUeet. 9th Floor Ziemer, Sfayman, Weitzel 8 Shoulders, LLP
Addres(Numberand5treet)
E-mail
E.SEL6ER S GRANTOR S '
Heather Amber Boggs
SrJlri ]- Name m a pevrs w convqvnce dacummt Shcer 2- Nome as appearz om m�veyvnredocummt
�2.30 i (��'t�n�s Cc�v �
Addr¢s (Number and5vret) pddreu (Number and5treet)
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E-mail Tele honeNum6er E-mail
Under penalties of perjury, I hereby certify that [his Sales Disclosure, to the bes[ 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 Proper[y Sales Disclosure Act".
- CY,�iI. 'Y12��2 �C��—
Signamreof5ellv �� SignaNreofSeller
Heather Amber Boggs ����/ / �
Pdn[edNameo Selfer Si nDate MM/00 PnntedNameo Shcer Si nDa[e MM/00
.F.'BUYER S GRANTEE 5 -APPLICATION�FOR�PROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY�� �� � - �
Henry Lee Boggs, Jr.
Beyrl 1� Nameas appmrs on convryanre dorummc 8yu2 - Name as oppears on ronvryanre dorumm[
401 Spruce Street
Addr¢s (Nvmbrr and Street) Address (Number and Strer[)
Pcnceton, IN 47670
Ci.y, SmIG and LPCode Ciry, Smt4 and ZIPCade
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E-mail Tde honeNumber E-mail
THE SdLFS DISdOSURE FORM MAY BE USED TO APPLY i0R CFRTAI\ DEDURIOYS FOR THIS PROPERTY. IDEYTIFY ALL OF THOSE THAT APPLY.
1FS \0 CO\01T108 � 1'ES AO [O\DITIOY
� � 1. Will this property be the buyer's primary � � 3. Homestead
residence? Provide complete address of primary � Q 4. Solar Energy Heating/Cooling System
'/ res ence, induding county:
'Y �� Gi • p f a, C P� s� ❑ ❑� 5. Wind Power Device
Addr¢s(Numberand5tre [J � Q 6. Hydroelectric Power Device
�Y t rt G��� /l, 1 N 4� G 7� G� BS oN � � 7, Geothermal Energy Hearing/Cooling Device
[iry.5mrel/P[ode Caunry
� ✓❑ 2. Does the buyer have a homes[ead in Indiana [o be � ❑� $� Is [his property a residential rental proper[y?
vacated For this residence? If yes, provide ❑ ❑J 9• Would you like to receive [aK statemen[s for this
complete address of residence being vaca[ed, property via e-mail? (Provide contact informadon
including county: 6elow. Please see instructions for more information.
Not available in al( [ounties.)
Addros(NumberandStreet) �6�Ia�o I_ 101-003��� V_ bG�V
Ciry, Smce ZIPCWe Counry
Pnmarypioperryownerronmt[name E-mail
Under penal[ies of perjury, i hereby certify tha[ [his Sales Disdosure, to the bes[ of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6d.1-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse informa[ion, Socia ur�ty and Driver's License/O[her numbers are not necessary if no Homestead Deducdon is
being filed.)/: � �
'�Y' � �/�
9gnamre fBvyert c % Signamreo/Buya2/Spouse
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Prinredl.egal of6y�a SignDare(MM/UO/YYYY) Prin[edLegalXameofBvyc2/Spouse SignOa:e(MN/DD/YYVY)
LastSdigiuojBuyer]Driver's Smte Las[SDigitsojSanalSecuriryNumber LastSdigittafBuyer2/SpouseDnver's Smre Las[SDigitsofSocial5ecvriry
License/ID/OlherNum6er Num6er License/lD/OtherNum6er