Homestead_Flickr�
f '
I\DIA�ASALES DISCLOSURF. FOR\I SDFID SDO ID 934301 Page 2
D.PREPARER
Samantha Culsirger
Aepare� aJohe Scfo Disdorvre Form Titlr
226 W. Broativ2y Broatlway Title, Inc.
nad�o,lx�mrx.o�ew��n7 tomPO�y
Princemn, IN 47670.
E. SELLER S GRANTOR S
Louwanna J Jines 7onia L Hedge
Seller 1� Nome vs apyevn on �onveylm<e da'ummt Srllrr 1� Nume as uFi+ro^ �m m�.eyunie da'umrn!
627 E. Brumfield Ave. 627 E. Brumfield Ave.
ASdrm (Nvmber ond StnrQ AdErrss (Number anCSTeec/
Princeton, IN 47674 Princeton, IN 47674
Under penalties of perjury, 1 hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
an�dp complere as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
dec�wa..�.s.Q 4��-w+-�J ��3"t�U�C. �; dl � nD„ �
Signamreo(5� Si,qnaomrafSeller
�ouwn-h ne T. Tinec 7_ zo-aa�a �'�, • 7-ap- a,
�
F.BUYER S GRAYTEE S -APPLICATIONFORPROPERTYTAXDEDUCTIONS-.IDENTIFYALLITEMSTHATAPPLY
Sandra L FliCk
Buye� 1- Rame ns vppears nn conveyanre daavment Buyer? � Nomr us apAeors an:anveynnre daoument
165 Division 5�.
ACdress(Nvm.bermd5treet/ AOErat�,YUmberandSneet)
Grand Rivers. KY 42045
Ciry.S:a¢. ond ZIPCaEe Ciry. SmR. and ZIP CoOe
-� `
Emoil TUr honeA'umber £�mail
TNE SALES OISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDURIONS FOR THI$ PROPERTY. IDENTIFY ALL Of THOSE Tt1AT APPLY.
1'ES YO CO�OITION 5'FS NO CONUITIOY
Q ❑ 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead
residence? Provide complete address of primary � � 4. Solar Gnergy Hea[ing/Cooling Sys[em
residence,indudingmunry: ❑ �
627 E. BRUMFIELDAVE. 5. �Vind Power DeviCe
Address(Numhrrond5v�ev) ❑ Q 6. Hydroelectric Power Device
Princelon, IN 47670 NOTAPPUCABLE � � �, Geothermal F.ne�gy Heating�Cooling Device
Ciry. Sm:e ZIP CaCe Counry
��] 2. Does Ihe buyer have a homestead in Indiana m be � Q $� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9� �Vould you like ro receive tax statements for this
complete address oF residence being vacated, properry via e-mail? (Provide conmcr informotion
induding munty: be(ow. Pleose see instructions%r more information.
Not avai/ab(e in a!I counties.)
Addrm (A'um.Aer ar.dSUret)
n? Io -l� -O-]��J y OQa � l�
Ciry.SmreZlPlode Counry
I'rlmarypmperry o�mo rontavt nvme 6'-mail
Under penalties o(perjury, I hereby cer[ify that this Sales Disdosure, to the 6est of my knowledge and belie(, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6d1-5.5, "Real Property Sales Uisclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deducrion is
being fled.)
anireofBVVerI ��1� 9gna�ureofBvyer7/Spovse
� =t�ci� � a�� i�-
LastSdigicso(B�rymr2/SpauseD�ver's Sm[e LastSDigiuo(Sacicl5ecunry
License/ID/Othe�Number T'um6er Lirense/ID/0`herNumber