Homestead_Sisk (9)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D. PREPARER � . - . . . . . . . .•
DANL.REEVES ATTORNEY
Preparero(Ne Sala Diulosure Form Title
716 S. MAIN ST. REEVES & COCHREN
AdJr¢s (Numberand Sveet) Company
PRINCFTON. IN 47670
E-mail
E. SELLER S GRANTOR S ..- .
LARRV A SISK
Se//er I� Name as appears m mnveyance dxvment Se11e� 2� Nome as appears on conveyanre document
9?3S PRWCF
Addrea (Number and Sbee[J Addr� (h'umber md SbeeQ
PRINCETON IN 47670
City.Smte, andZlP Code liry. Smte. and ZIP lode
E-mail Tele honeA'umber E-moil
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
�d complete as required by I w, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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Sig amreo(Seller S 1 SignamreofSeller
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RinredN 1(er Sio Dore MI DD/vn'Yl RintedNameo(Seller SionDareUwM/On
. UYER S GRAN S-- APPL(CATION FOR PROPERTY TAX DEDUCTIONS- IUENTIFY ALL [TEMS THAT APPLY � '
MARY ETHEL
e as appeorsan romey�once dorument Bu�er 2- Name os appcvrs on vonveyanre da'umen[
9 . PRINCE ST.
Addrea (Numberand SvretJ Address (Num6er and Stree[f
PRINC[TON. IN 47670
Ciry.Smte, ondZ/PCade Ciry. Sru¢. and ZIP lode
E-maii iele honeNumber Emoil
THESALESDISCLOSUREFORMMAYBEUSEDTOdPPLVFORCERTAINDE00Cf10NSFORTl11 . ENTI SETHdTAPPLY.
YFS NO CONDITION 1'ES NO CO\DITION
❑� � 1. 4Vill fhis proper[y be the buyer's primary 0✓ � 3. Homeste aei � �,�i g�
residence? Provide complete address of prima ,� � 4. Solar Energy Heating/Cooling Sys[em
residence, induding munty:
907 S. PRINCE ST ❑ ❑✓ 5. Wind Power Device
Addres(NvmberandSPeel) � 0✓ 6. Hydroelectric Power Device
PRINCETON. IN 47670 GIBSON � �j 7. Geothermal Energy Heating/Cooling Device
Cirv.Sm�eZIPCode Coonry
❑ Q✓ 2. Does the buyer have a homestead in Indiana to be � ❑� $ s[his property a residential rental property?
vaca[ed for Ihis residence? If yes, provide ❑ � 9� Would you like to receive [ax s[atements for this
complete address of residence being vacated, `��property ��a e-mail? (Provide mntoct in/'ormadon
induding county: �� below. Please see instructions%r more infarmation.
Nat available in al! caunties.)
Address (Number and SvretJ �f/� /�J� ��(7
Ciry,SmteZlOCOde �//� ~/� /� /�� C•I�//• ��I �U
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Pnmary pmperry ownerronma nome E�mail
Under penalties of perjury, 1 hereby certify tha[ [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in acwrdance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
bsri_nRfiled.) � Q C
Y��(Qn,� �p� l.t�,�t! �c..,, �'ia�r�, �.I''�„i� -k,��
SignamreafBuyerl SignamieoJBuyer2/Spouse �
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LastSdigitsofBuyer7Driver's 5[ate LastSDigitso�5otialSecurityNumber Las[SdigittofBuyrr2/SpouseDriver's Stute LastiDigi6ofSonalSecunty
Lirense/lD/OtherNumber Number Li[ense/1D/OlherNumber