Homestead_Ice1\DIANA SALES DISCLOSURE FOR�I SDF ID SDO ID 681871 Page 2
D. PRGPARER - - � - -� -� -- - '
Patti Kolb Closing Manager
PreparerofNe Scles Oiulosvre Fonn Title
226 W. Broadvray Broadway Tiile, Inc.
Addrm (Numdvand5vett) Compvny
Princeton, IN 47670-
E. SELLER S GRANTOR S � � - ' - � � � � �
Ramona G Whitaker
Seller ]� Name u appwrs om m�veyv��rce J«ument Selfer I- Nume as vppevrs on ronvewnae dorument
908 S Adams St
Addrcss (Number ond Sv�eQ ACdrta (A'umber ond5aeey
Princeton, IN 47670.
Ciry, SmtS a�dLPCodr /, Gry, SmM, nnd7.IP Code
E-mail Tde oneNumbrr H�mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best oFmy knowledge and belief, is true, correct
and�plete as required by law, and is prepared in accordance with IC 6-1.1•5.5, "Real Property Sales Disclosure AcY.
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� ERS GRAN� -APPLICATION�FORPROPERTYTAXDEDUCT[ON5-IDENTIF.YALLITEMS�THATAPPLY �
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Buyerl�Abmeasappevrsmrnnveyo edavmen: Buyfr2-Namevsappevrsomm�vevancedaoument
639 E Water St.
res vm.berand5treey Addras(Numberand5neetJ
Prince 670-
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iHE SALES DISCLONRE iORM MAY BE USED TO APPLY FOR CERTAIN DEDURIOYS FON THIS PROPERTY. IDE.VfiFY ALL OF THOSE TNAT APPLI'.
YES NO [ONDITION �SES� NO CONDITION
Q ❑ 1. Will this property be the buyer's primary �x � 3. Homestead
residence? Provide complere address of primary � Q 4. Solar Energy Heating/Cooling System
residence, including couniy:
908 S. ADAMS ST. � Q 5. Wind Power Device
Address(NUmberand5vee[J ❑ Q 6. Hydroelectric Power Device
Princeton, IN a7670 GIBSON � � 7. Geothermal Energy Heatlng/Cooling Device
Ciry, Smle ZIPCoCe Coonry
❑�] 2. Does the buyer have a homestead in Indiana to be � � 9. Is this property a residential renul property?
vacated for ihis residence? If yes, provide ❑ Q 9. Would you like to receive tax statements for this
complete address of residence being vacated, properry via e-mail? (Provide contactinformotion
indud ing munty: befow. P(ease see instructions for more in�ormation.
Not availa6fe in all counties.J
Addrrn (Num6er and SvrelJ
Ciry.SmmZIPCad= Covnry ��'/�_�� /� l OO� ��� O� �
Pnmaryproperry'aumocanmctname E-mai!
Under penalties of perjury. I hereby certify that this Sales Disdosure, to [he 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 informarion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
being,filed/.) � -� � Q �
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