Homestead_Tice1\DIANA SA�.ES DISCLOSURE FOR\I
IRnyarerofNeSclesDitlosvreFOrm
226 W. Broadwdy
AJdro�� /NvmLer and Stiert)
Princeton, IN 47670.
Ci.y.Smre. anJ ZIP [oCe
Srller 1� h'ame vxoppevrs on wm�eK�nm d«ument
427 E. Water St.
Adaress (NUmber and SveeQ
Princetan, IN 47670.
Ciry', Sm[q and ZIPCaJe
SDFID
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SDOID 475495 Page2
Tille
Broadway Title, Inc.
Campany
Selferl � Nume ns uFY�rsm oomcwn�e dorument
ACdrtn (A'umber onC Sm�)
Gry, Smre, nnd ZIP Lade
Under penalties of perjury, I hereby certify that this Sales Disclosure, to Ihe best of my knowledge and belie(, is true, correct
anA complete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disclosure AcC.
of5eller
- APPLICATION FOR PROPERTY TAX
ngela M. Tice
B)tr1�A'omenvo �.sonronveyvn[eJOrumen:
. rumfeld Ave.
Princeton,IN a767P
Signon�rrafSeller
Buyer 2� Kame as appeorsan ronvewnce document
AdCreu (Num6er and Stree�J
Ci.y. 5<are. and ZIP Code
THE SALES DISCLOSURE FOR�t M.4Y BE USED TO APPL1' FOR CERTAIN DEDURIONS FOR THIS PROPER7Y. IDENTIFI' ALL OF THOSE T4{pT APPL1'.
x❑ Q 1. Will this properry be the buyer's primary �
residence? Provide complete address of prim ry
residence, including munty:
427 E. WATER ST.
Address (NUmber and StieeQ
Princeton, IN 47670 NOT APPLICABLE
Ciry• Smce ZIP Code Counry
� � 2. Does the buyer have a homesiead in Indiana ro be
vacated for chis residence7 If yes, provide
mmplete address of residence being vacated,
including counry:
Addr¢ss (h'um6tr ued S:rttt)
Ciry.SmteZlPCode Counry
3.
. � eating/Cooling Sys[em
� Q 5. bVind Power Device
❑ Q 6. Hydroelectric Power Device
� Q 7. Geothermal F.nerg}• Heating/Cooling Device
� Q 8. Is this property a residential rental property?
� Q 9. 4VOUld you like to receive tax statements for this
property via e-mail? (Provide contnct informorion
below. Poease see instruccions�or more information.
A'ot avarlable in all covnties.)
o��- la-(j� -�-lo�-bo 1• �f73 D 3�
Ptlm.arv omoern o�vner ror.mrt nume !'�mo8
Under penal[ies of periury, 1 hereby certify that this Sales Disclosure, [o the best of my knowledge and belie(, is tne, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse in%rmation, Social Security and Driver's License/Other numhers are not necessary if no Homestead Deduction is
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Signamrea(BVy�erd/Spouse
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