Homestead_PullumINDIANA $ALE$ DISCLOSURE POR?I SDF ID SDO ID 930581 Page 2
D.PREPARER
Saman�ha Cutsinger
RepartroJ[he5cfa Diulosvre Form Titlr
226 W. BroaWrdy Broadway Title. Inc.
Addrm(Num6erarM5vee1) Campany
Princeton, IN 47670.
E.SELLER S GRANTOR S
Glen A Ramsey Tomi D Ramsey
Srller ]� Name us npyeen an runvr�vmie Jrcumm� Srlier 2� Name os nppeen nm m�mvnw da'umrn�
6997 S 550 W 6997 S 550 W
Address(NumberondSOreQ Add.rn(A'umberandStreeQ
O.vensville, IN 47665 Ovrensville, IN 47665
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Under penalties o(perjury, 1 hereby cer[i(y that this Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in aceordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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F. BUYBR rGRAYTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL (TEMS�THAT APPLY
� Kristopher D Pullum PaVida E Pullum
Bu��e� i� Nume ns oppeen a^ ronveyvn[e datumen: Buyer 2� Name os nyyears an ronveynnce dxvmm[
1010 S. Main SL 1010 S. Main St.
dddrca (Number mASvertJ Addras (�YUmber and Snert)
FL Branch,IN 4764& FL Branch,IN 476a&
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� �fi 812379-2549 �µl(.
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THE SALES DISCLOSURE FORFI MAY BE USED TO APPLY FOR CEHTAIN DEDURIONS FOR THIS PROPERTY. IDENTIF1' ALL OF TFIOSE THAT APPLY.
Y'ES YO [ONOITION YFS NO CONOITIOY
x❑ ❑ 1. Will this property be the buyer's primary ❑X ❑ 3. Homestead
residence? Provide mmplete address of primary � � 4. Solar Energy Heacing/Cooling System
residence, including county: ❑ �
6997 S 550 w 5. 4Yind Power Device
AAdrttt�Num6ercnd5nreoJ ❑ Q 6. Hydroelectric Power Device
Uvensville, IN 47665 GIBSON � Q 7, Geuthermal F.nergy Heatlng/Cooling Device
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�� 2. Does [he buyer have a homestead in Indiana to be � � 8� I5 this property a residential renial property?
vacaeed for this residence? If yes, provide ❑ � 9. Would you like to receive tax statemen[s for this
complete address of residence 6eing vacated, property via e-mail? (Provide contnct information
induding counq�: below. Please see instruc[ions%ar more in(ormation.
M1btavaila6le in a!I rountles.)
Address(NVmherand5aretJ �
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Ciry, Sm¢ 21P Code Counry
Rimerypmperry o�mer mnma! nvme 6�-mail
Under penalties of perjury, I hereby certify [ha[ this Sales Disclosure, ro the best o(my knowledge and belief, is true, correct
and comple[e 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/0[her numbers am not necessary if no Homestead Deduc[ion is
being filed.)
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