Homestead_PayneI�IAN.� $ALES DISCLOSURE FOR�I SDF ID SDO ID 712005 Page 2
D.PREPARER �
Samantha Cutsinqer
'Rnporero/rhe5ales Oiulosvreform T�tle
I226 W. Broadvray Broativ✓ay Title, Inc.
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Olive Partenheimer by Power of Attomey
Srller 1� Name us nppevrs om m�veynnae dorumm� Seller 2- Nume ns uppears on �vnin,wnre duoumen�
525 E. State SL Apt. SA
Addrcss(NUm6erond5orerJ AdCms(NUmberand5�t<[�
Princeton,IN 47674
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and/�complete as re,9� ir by law, and is prepared in accordance with IC 6-1.1•5.5. "Real Property Sales Disclosure Act".
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9uyer 1
MI. Carmel, IL 62863
- APPLICATION
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Janie M Payne /
Buyer?�Nameosnppe omm�veynncedoaumen[
9987"Dl"6hGTf�
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Mt. Carme , iC 62863
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THE SALES DISCLOSURE FORFI MAY BE USE� TO APPLY FOR CERTAI4 DEDURIONS FOR THIS PROPERTY. IDE.YfIF1' ALL Oi TNOSE THAT APPLI'.
x0 ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence,including county:
310 W. PINE ST.
AAdress (f.'umber cnd Strmv)
Princeton. IN 47670 GIBSON
Ciry, Aore ZIP Cadt Counry
� � 2. Does the buyer have a homestead in Indiana to be
vacared for this residence? If yes, provide
complece address of residence being vacated,
including county:
Addre.+s (NUmbo and Svret]
[iry, Smte ZIP Cade Caunry
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4. Solar Hnergy Fleating/Cooling System
5. 4Vind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this properry a residen[ial renial property?
9. 4Vould you like to receive tax statements for [his
�low. Pfease see instructions%r more
�Not availabfe in all counties.J
a.�l a-b�- I o a-doo. ag�
E-mail
Under penalties ofperjury, I hereby certi(y that this Sales Disclosure, to the best of my knoededge and belie(, is true, correc[
and comple[e as required by lax�, and is prepared in accordance with IC 6d1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse informa[ion, Social�Seyurity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
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