Homestead_Kennard (4)u�an L. Reeves Attomev
Prepare� of the Salrs D'uclosure Form Title
�6 S Main Sl
}rus (Number and Sveet) Company
Princeton IN 47670
Ciry, Smte, and ZIPCode Telephone Num6er E-mail
la�nn> n�i �jTFctatr+
Sel/er 7- Name as oypears.m conveyanae document
9059 SW WhitP Chmrh Rd
Address (Number ond StrectJ
Prinro��� IN d7R7p _
Ciry, Smte, and Z/P Code
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Se/fe� 2- Nome as appears on conveyonce dorvment
Address (Numberand Sdee[)
City. Smre, andZlPCode
Under penaltles of perjury, l hereby certify that Ihis Sales Disclosure, to the best of my knowledge and belief, is true, correct
and tomplet�e /a� required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcY'.
�1 Q. . �
gnamre Selle/r n I Signamreo/Seller
iT t.onh /S.' �A .i J2/a9/2a�o
Buyer I- Name as appears an
Address (Numberand SVeet)
Buyer2 � Name arsan ronveymce docvment
1502 E Marv Lee Drive
Address (Number and Stree[)
��ceton. IN 47670
Email
TNE SALFS DISCLOSURE FORM MAV BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P�IP-6RfiY.-lOENTIFY ALL OF TNOSE TXAT APPLY.
fF5 NO
�✓ � 1. Will this property be the buyer's primary <
residence? Provide complete address of primary
residence, including county:
�sm ❑ npa�y i oo nri�e
Addrecs (Num6er nnd Svee[J
Princeton IN 47670 _ Gibson
Ciry, Srnre ZIP Code Counry
�✓ � 2. Does the buyer have a homes[ead in Indiana to be
vacatcd for this residence? IFyes, provide
complere address of residence being vacated,
including county:
428 W Mulberrv St.
Addrecs (Number and Svee:J
Princeton,IN 47670� Gibson
City.Srure ZIP Code County
�✓ ❑ 3. Homes[ead
� �1 4. Solar EnerE
�
�
�
�
�
5. Wind Po�ver Device
6. Hydroelectric Power Device
Sys[em
❑✓ 7. Geothermal Energy Hea[ing/Cooling Device
Q 8. Is [his property a residential rental property?
�✓ 9. Would you like to receive tax sta[ements for this
property via e-mail? (Provide contact information
6elow. Please see instructions for more information.
Not available in all counties.)
�/03-4�- /QSC OQa1. �o?-Oa,�
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, [o the best of my knowledge and belief, 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, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
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em file
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