Homestead_McCrawIYDI.�\ASALESDISCLOSUREFOR\f SDFID SDOID 7396009 pa<<?
D�. PREPARER . . . - .. . - - - � -. � � . .
Abbev Moore Cbser
Preparcro/the Sala Dadasvie Form Title
3101 N. Green River Road Suite 130 Truslworthy Land ritle Co. Inc.
Addrecs(NumbervndS.m[J �
.E:SELLER S GR.4NTOR S �: - � - - ' � � � � �
John E. Todd ShirleyA. Todd
Selkrl-RvmeasaFptaaonconveyvnredxumm1[ �� Seller2-Nameosvppearsoncvm'ryancedxumenl '
'ttT3p-Gibyvn S ��JZ �.(,(�'t"(,jCK �((.'li I 1030 Gibson S
.4ddresz (NwnbeandStreet 2 Address (NUm6er artC SveetJ
pm�eEea;-IW-076Zp- �,Q j'rQ ��.(,(,i�.� i I� �����'J Princeton, IN 47670-
Ciry, Srn;q and ZIG Ciq�. Srnre, mdZ1P lndr
-�es.eeaeeeo �$ ooa000-0000
Tde honeNum6v � E-mad Telephox6um6er E-nail
Under penalUes of pe 'urp; ! hereby cer[ify tha[ this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and pl e a f ui -- I , and is prepared in accordance with IC 641-S.S, "Real Properq� Sales Disclosure Act".
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9'gna: � e Se el �aIDreai kller
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YERS GRi1 EES—APPLICATION�FORPROPERTI'TAXDEDUCTIONS-�IDE'TIFYALLITEDIS.THATAPPLY ��- �
Kimlee L. McCra
. . easo➢P�+s��nveyancedrcummt Bwu2-Nameasa➢penrsonronvnnnredm�ment
23 E. Ohio Street
AdAress (NUmberartd5[reeQ ddd�s (Number andS�ee[)
Princeton, IN 47670.
E-mvil �^ E-mail
THES.LLFSDISCLOSUREFORMMAI'BEUSEDTOAPPLI"FORCERTAIYDEDUCf10N THISPROPERTY.IDENfIFYALLOF THATAPPLY'. �
YES NO CONDITION I YES KO CONDIllOY
X❑ � 1.1Ni11 this property be the buyer's primary� ❑x ❑ 3. Homestead
residence? Provide mmplete address of rimary eating/Cooling System
residence, including county: � � 5. N'ind Power Device
7030 GIBSON S
Addreu(Numbermd5vee[) ❑ Q 6. Hydroelectric Power Device
Princeton, IN a7670 GIBSON � � 7. Geothermal Energy Heatino/Cooling Device
Ciry.SmreZlPCode [aunry
��] 2. Does the buyer have a homestead in Indiana to be � 0 S. Is this property a residential rental property?
vacated for [his residenre? If yes, pro��de ❑ 0 9. Would you lihe m receive [ax staiemenis for this
complete address oFresidence being vacated, property via e-mail? (Provide contoct informopon
including county: below. Please see instructions for more informadon.
Not available in all roun[ies.)
Addrrs (Number end SveetJ
_, _� / �o a 8 0 0
Gry.Sa[eZ(PCOde Counp� !
Primaryprvpem• nwner mnmR nomc E-mail
Under penaldes of perjury, t hereby certify tha[ [his Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Ac[". (Note:
Spouse in(ormatlon, Social Securit} nd Driver's License/O[her numbe�s are not necessary if no Homestead Deduction is
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Rinred Lepnf Name n%Buyer 1 Sign Qv¢ (HM/oo/YYVp Print� lry, al Nnme o/Bmer2/Spouse Sign Dam (uM/u0/YYn7
IN
LastSdigiCrafBuyer]Onver's Sfate Las[SDfgicrof5ocia15etunrnNum6er Las[SdigiaofBuyer2/SpouseDnver's Smle LasSDigi6of5xial5ecunry
License/ID/OthesA`um6er Num6er I.icense/ID/O[herA'umber .