Homestead_Greenwell (7)SDFID:
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wdress (Number und Street) -
Princeton Indiana 7670
Gry,State andZ/PLcde
E.
Attomev-at-Law
rme
Hiaainbotham Law Office
Company
TdephoneNumber E-maii
William A RraPnwpll Cr FranrPC A C;rPPnwall
Sefler 1- Name as appmrs on conveynnce daument
Seller 2- Non�e as appmrs on conveyanre document
_ BOS S Hall RtrePt gQ5 S H��II Street
Addras (NUmba and SveetJ Addreu (Number ond Straet)
PrincPtnn Indiana 47fi70 Prinratnn Indiana 47R70
ZfPCOde
Gry.Smte, and LP Lade
Onder penaldes of perjury, l hereby cerbfy that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and comp/lete as required by law, and is prepared in accordance wi.Jth IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
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PrintalNameoJSeller SiYiIWICENM/OD/VYYYI vn�nw.
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Bu}•al-N Pp¢p�ncedarument er7-Nameas veynncedarument
475 S Hall Streei 415 S. Hall Street
Address (Number nnd Street) Addr¢s (Number and Strcer)
sm�e o�dur eade
Princeton. Indiana 47670
Ciry,Swtq andTlPlade
-
TlIE SAIES DISCI.OSURE FORM MAY BE USm TO APPLY FOR CQiTAIN DmUCfI0N5 FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPI,Y.
Q ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
415 S Hall Straot
Addreu (Num6erand Sveet)
Princeton Indiana 47670 Gibson
Gry.SmteZlPlade �w�y
❑ Q 2. Does [he buyer have a homestead in Indiana to be
vacated forthis residence? Ifyes, provide
complete address of residence being vaca[ed,
including county:
(NumbvandSPcet)
Gry, Smre LPCOde
Counry
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3. Homestead
4. Solar Energy Heatlng/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heatlng/Cooling Device
8. Is [his property a residenGal renCal property?
9. Would you like to receive taac sta[ements for this
property via e-mail? (Provide rontact iaformadon
below. Please see instrucdons for more information.
�_Not available in all coundes.)_
303; 0o3.`(YS-od"�
mmaryproperryownercanrocrname E I
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my Irnowledge and belief, is true, wrrec[
and complete as required by law, and is prepared in accordance wiffi IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse informadon, Social Security and Drive�'s License/Other numbers are not necessary if no Homestead Deduction is
beinp flled.) � � � p �
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LastSdigi[co/Buyer2/SpauseDriver's Smte I.astS
Num6er License/ID/OtherNum6er
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