Homestead_MiskellINDIA�ASAI.ESDISCLOSURF.FORDI $DFID SDOID 93N25 pa��?
D.PREPARBR
'Samantha Cutsinger
R'eyarer o(thr $cfa Ouclonre Form Title
226 W. Broadway Broadway Title. Inc.
AJdrm /Numher ond SvretJ Compvny
Princeton, IN 47670.
E.
lthryn R Malhis
Srller ]- 8ame as nppevrs om m�vcyon�e Jo�umev
806 E. State St.
Addrezs (Number ond5vee.]
Princeton. IN 47670.
�U%fi
Srlier Z- Name os ap�man on mmrvlmie davmenr
Address (A'umberand Saeet)
Liry, Sm:c, nnd7.IPGode
Under penaltles of perjury, I hereby certify tha[ this Sales Disdosure, to the best otmy knowledge and belie(, is true, correct
and comPlRte as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Ac[".
4 '?� ���
F. BUYER(S]/GRANTEE(S] - APPLICATION FOR PROPERTY TAX 1
irade n Misken
Buyrr I� h'ome ns eppmrs an ronvevonre davmen:
323 5. Main St. Apt 132
Address (Number anJStree[J
Princeton, IN 47674
SipnomreofSNler
Buyer 2� Nome as nppeors nn convnanre dorvment
AdCrns (Numbrr anC 5lreeQ
Ciry, Smre, and ]IPCWe
THE SALES DISCLOSURE FORN MAY BE USED TO APPLY FOR CERTNN DEDURIONS fOR TNIS PROPER7Y. IUENfIFI' ALL OG THOSE THAT APPLY.
x❑ ❑ 1. Will this properry be the buyer's primary
residence? Provide complete address o(primary
residence, including count}�:
228 E. PINE ST.
Addrtzs (eumbcr and Svrev)
Princetan, IN a7670 GIBSON
Cip�, Sm[e 2/P Codt Cwnm
�� 2. Does the buyer have a homestead in Indiana to be
vacated for chis residence? If yes, provide
complete address of residence being vacated,
induding county:
Addras (NVmbrr and Svre[J
Ciry. Smce ZIPCWe
a
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NO
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0
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3. Homestead
4. Solar Energy Ileating/Cooling System
5. bVind Power Device
6. Hydroelecvic Power Device
7. Geuthermal F.nergy Heating/Cooling Device
8. Is this property a residen[ial ren[al property?
9. �VOUId you like to receive tax swcements for this
property via e-mail? (Provide contact information
below. Pleose see instructions%r more in(ormation.
Nat available in all counties.)
a (o-/o?-a7-Zo I oa /,S/�lOaB
Pn'marvaroncrNmmmm�manumr h'-mai!
Under penalties o(perjury, I hereby certify that this Sales Disclosure, [o [he best of my knowledge and belie(, is [rue, comect
and complete as required by law, and is prepared in attordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (No[e:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary i(no Homestead Deductlon is
beingfiled.) - -.. � �/., ,,.. �._ .� �,�v7n .,
A
Social5ecunryNum6er LostidigicsojBuyer2/SpauseDriver's Smte LastSDigitsa/SxialSecunry
License/!D/OtherNumber Numbe� License/ID/OthenVumber