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Homestead_BrownINDIANA SALES DISCLOSURE FORM SDF ID SDO ID 469458 Page 2 D.PREPARER Patti Kolb Closing Manager F Preparerafthe Sales Disclosure Form Title 126 W Broadway Broadway Title. Inc. Add, ea (Numbermd Street) Company Princeton, IN 47670- E. SELLER(S)/GRANTOR(S) Donna Kaye Cullen Seller I- Name as.,Pearsommozvevame document SellerZ Nome m appears an tnnvemme document 5013 S Lincoln St. Address (Ni mber.nd5treet) Address (Number and Street) Oakland City, IN 47660 - Caty, Smu; and ZIP Code Cary, Slow, and ZIP Code Er ail Telephone Number E -mail Under pet Ities of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and comp teas requVedJby law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". 0+11 rL .' nature efs`eller Signaure afSrJfer 'y r F. BUYERS GRANTEES - APPLICATION -FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Dennis E. Brown Buyer I- Name as aPprnrs on moveyame dotument Buyer2 Name as appears on conveyance document 3208 Elm St. Address (Number and Street) Address (Number and Street) Princeton, IN 47670 - City. Stom and ZIP Code Cary. State, and ZIP Code , Email THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH 15 PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION x❑ ❑ 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Ileating /Cooling System residence, including county: E] S. Wind Power Device 5013 S. LINCOLN ST. ❑ ❑ 6. Hydroelectric Power Device Address (Number and Street) Oakland City, IN 47660 GIBSON ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © B. Is this property a residential rental property? Cary. Smn ZIP Code County ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide ❑ © 9. Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail? (Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) /1/I 3 2 d6-0?0- Gb? -o?o% tom. o?3.S 1,14 Address (Number and Scree.) City, State ZIP Code County Poimary property mvner eartactrume P in Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best 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 Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is bein(g�fiiled.) (� 1 J Q M rv� Lfl l 1 n/!{ b evert Signature of8yoer2/Sisouu ��/ r 6a�s�igpnasm., rrt�,af R1� +1' . 1>lY �I. lid 0(0- t7��1� PrimdLegal NameofS,m� l Sven Da:e(MMIDDIMYI. Panted Legal NameofByrr2 /Spouse Sign Late("1VD1YYn Security Number Lost 5 digitsofBuyer2 /Spouse Driver's State Last 5 Digits of5oclel5etvrlty License /ID 10ther Number Number License /ID /Other Number