Homestead_WoodsI�DIA\sSALESDISCLOSUREFORU SDFID SDOID 727254 Page2
D.PREPARER
•Samantha Cutsirger
Preycrn o(Ne Scles Dudosvre Form Title
226 W. Broadway Broadway T�le. Inc.
Addrm(NumLerandAirrtJ Company
Princeton, IN 47674
E.SELLER S GRANTOR S
Robert L Griffin Kay C Griffin
Seller 1� Name w appevn on avm�qm<e do�'ummt Srlfrr2 � Nume as apyevn on avnveyvn�r dxumrm
604 Governor St. 604 Governor St.
Address(NunberendSVreQ ACErcn(A'umberand5vre�)
Princeton, IN 47674 Princeton, IN 47674
Emoil Telr honeNum6e� E-mail
Under penalties of perjury, I hereby certlfy that this Sales Disclosure, to [he best o(my knowledge and helief, is true, correct
and c lete as required by aw, a d is prepared in accordance with IC 6- 1-5.5. "Real Prope y Sales Disclosure Act".
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F. BUYER S GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Michael L Woods
Buyrr 1� A'arne ns uppcars on vomevenre Jotumrn: Buyer 2- Nnme us nppmrs nm m�vrynnre dacumrn[
304 S. Spring S�.
dddre.�s (Num6eronJS�reetJ ree.asl�v�mee. a�e saezq
Princeton, IN 47670.
�Ciq�.Smv.-w�nofM.e Ciry,Smte.andZ1?[a1<
meNumbe� E-mail
THE SALES DISCLOSU0.E FORN MAY BE USED TO APPLY FOR CERTAI.Y DE�UCI'IONS fOP THIS PROPERTY. IDENTIFI' ALL OF THOSE THAT APPLY.
5'ES NO CORDRION YFS YO CONDITION
X� � 1. Will this property be the bwer'S primary QX � 3. Homesread
residence? Provide complete address of primary � � 4, Solar Energy Ileating/Cooling Sys[em
residence, including county: � �
604 GOVERNOR 5T. 5. 4Vind Power Device
AAdress(A'umberond5nee[) ❑ Q 6. Hydroelec[ric Power Device
Princeton. IN a7670 GIBSON � � 7, Geuthermal F.nergy Heating/Cooling Device
Ciry. Sm(<ZIPCodr Counry
�� 2. Does the buyer have a homestead in Indiana to be � � a� �s this propern� a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9� �vould you like [o receive tax statemena for this
complete address of residence being vacated, properry via e-mail? (Provide contnc[ informotion
including counry: below. Plense see instructions for more in�ormatian.
A'ot avaifable in a!I counties.J
Address (Num6er nnd Saer�)
�,�,.5���rz,o��e �ou�ry ae—�a—��- /03 •UOO.591-oa�
I'rimarv pmperry o�mer ronmat nurne 6'-mail
Under penalties o(perjury, I hereby certify that this Sales Disdosure, to [he best of my knoµ•ledge and belie(, is true, correc[
and comple[e as required by law, and is prepared in accordance tvi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (No[e:
Spouse information, Social Security and D�iver's License/Other numbers are not necessary if no Homes[ead Deduc[ion is
being filed.)
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