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Homestead_Owens (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 G:PREPARER— -' -- ' — - _ Stephanie Miller Closer Preparer of the Sales Disclosure Form Title 8711 W. Hwy 66 First Advantage Title Address(Number and Street) Company Newburgh, IN 47630 812-490-8485 theleam(dfirstadvantagetitle.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S)` .. •. _ _ --. ` ' ._.r • .. .. - _ - --- - ._ Gerald W Bonney Vicky I Bonney Seller I-Name as appears on con vevante document Seller 2-Name as appears on conveyance document 30'9 f A-4 u$0 * 30'S E_ V4oj*o chi • Address(Number and Street, Address(Number and Street) of ue-nSv i It e 1 nl ` 1.105 Cu.-)P f 16 1 t t-(-1lp(ai 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 p3. •ap er-.. accordance with IC 6-1.1-5.5,"Real Property Sal �isc o Act". l Rt��D V.�. �.r e 3� 1//.�'t�`L�.�� l\;v:`( L- %>ea nDY �%' `)- P00< Signature of Seller . Signature of Seller f1erald W Bonney 05/31/2013 Vicky L Bonney 05/31/201 Printed Name of Seller Sian Date(MSl/DD/vm) Printed Name of Seller Sian Date(MM/DD/YYYL1 F R1) ERf LGRANTEE S -_APPLICATIONFORPROPERTYTAXDEDUCTIONS-.IDENTIFYALLITEMSTHAT•APPLY" - : ___ __ Jackie S.Owens Carol Y.Owens r rs on conveyance document Buyer 2-Name as appears on conveyance document 108 North Third Avenue 108 North Third Avenue Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION ygyt.n� pt ❑ 1.Will this property be the buyer's primary • • 3.Homestead residence? Provide complete address of primary • - eating/Cooling System residence,including county: 108 North Third Avenue ❑ 1.1 5.Wind Power Device Address(Number and Street) ❑ PI 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ S'', 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ �� 8 Is this property a residential rental property? vacated for this residence? Ifyes,provide ❑ ji 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. Address(Number and Street) City,State ZIP Code pun '2A -ll '/$2 _ /0‘&6040 , 513.)- -0 ;78 ty ..,f4-imary property owner contact name ,ail 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.) U� , - 4 ) : A C.0. L,0--P C./ 0.-Ct. rte, Signature of Buyer) Signature of Buyer2/S yse Jackie S Owens 05/31/2013