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//�G INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1757407 Page 2 • tilD.PRE PARER Samantha Cutsinger Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 broadwaytitle1Qinsightbb.com City,State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Patricia D Vanoven Seller 1-Name us appears an conveyance document Seller 2-Name us appears on conveyance document 400 Swallowfield Dr. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Telephone Number E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and�9mplete as r uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". � 1411-4,) 1,,,-4,x. Signature of Seller .Signature of Seller Oait;r/in t L&VnzE.(/ /-d V-X70/3 R■—vr •••TtiSea,r c,..,O.re.v.,•nN.-vYn Print-Ad Vn,no Arc", vne N-m.ea.n.vWe All FrBUYER(S)/G• • • E(S)-APPLICATION FOR PROPERTY TAX DED •• . I NTIFY ALL ITEMS THAT APPLY ' Kenneth Sapp Bobbie Sapp \. r - ,-••- . • pears on conveyance document ' Buyer 2-Name as appm on conveyance document .20 N.Seminary St. . e -minary St. Address,. ...Street) Address(Number ant Street) Princeton,IN 47670- Princeton, IN 47670- illCity. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION -• s • • © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homeste.d residence? Provide complete address of primary mil—a—, oar Energy Heating/Cooling System residence,including county: gy g/ y 620 N.SEMINARY S7. ❑ © 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County © ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © S.Is this property a residential rental property? 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. 300 S.WOOD ST. Not available in all counties.) Address(Number and Stmt) PCiOka, 66 GIBSON n -0 crO/- W(�s tf s - n R City,State ZIP Code County Primary property owner contact name E-mail Under penalties of perjury,I 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 being filed.) yra� p`'s\J+- Signature of Buyer) Q• , , Si nature ofBYer2/Spouse kannt4k Sefe d,/25/2o bt,b�,e 5,., t11/.2512t4,, 4/0