Homestead_ReadyINDIANA SALES DISCLOSURE FORM
D.PREPARER
Preparer a/�he Salu Disdosure Form
ACdress (Nvmber and Sveet)
Title
Tiile Center of Indiana
Company
ColumbuslN 47201
E-mvil
E.
Marv A Ahli
Selfer 1� Kome nt oppmrs on ronve�ance dxumen�t/�
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eller Vomeas ppea omm�vnvn[ ument
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Address(Num6erondSRee[] _ , , ,
Under penalties of perjury, 1 hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance w�th C 6-1.1-5.5, "Real Pro rty ales Disclosure Ac[".
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5{qnaNre o(Sellr Signamre o(Seller �
- APPLICATION FOR PROPERTY T
Buyer 1
.11� . :�11'�
ONS-
By�er? - Name as
Addres (Number and Streee)
PrincelonlN 47670 I PnncetonlN 4760
� Ciry.Smte.andZ/PCode
THE SALFS DISCLOSUNE FORM DfAY BE USED TO APPLY FOR CERTAI.Y
Q✓ � 1. �Vill this property be the buyer's
residence? Provide complete adi
residence, including counry:
619 S First Sireet
Addreu (NUmbe. and Streei)
PrincetonlN 47670 Gibson
Ci � mreZlPCode Covnn�
� 2. Does the buyer have a homes[ead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
�/� Snc�d�g�ounty� I
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'reu(Nur�eran�treetJ n ♦ / , / �� HO
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Gry, Sm[e ZIP Code Counry
TNAT APPL1'.
0✓ ❑ 3. Homeste
��—� . ar Energy Heating/Cooling Sysiem
� Q 5. 4Vind Power Device
❑ Q 6. Hydroeleciric Power Device
❑ 0✓ 7. Geo[hermal Energy Heating/Cooling Device
� Q 8. Is this property a residential rental property?
❑ ✓❑ 9. 4Vould you like to receive tax statements for this
property via e-mail? (Provide conmct in%rmation
6elow. Please see instruciions for mare information.
Nor availa6le in all counties.)
� /�-o��o3-aoi.�.s�- oa�
name
E moil
Under penalties of perjury, I hereby cer[ify [hat this Sales Disclosure, to 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 Homes[ead Deduction is
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S" reo(BUyer1 Signamreo(Buyerl/Spouse
.lohn E Ready R-19-2017 Vickie J Readv R-19-2011
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ocial5ecv Numbei las[Sdigi6o(Buyer2/SpouseDriver's Sm[e LastSDigiuof5ocialSeturiry
License/ID/O[he�Num6er - Num6er License/lD/O[herNum6er