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Homestead_Price (2) INDIANA SALES DISCLOSURE FORM SUE ID SDO ID 1779753 Page 2 D.PREPARER Cassie Williamson Preparer of the Sales Disclosure Form Title 226 West Broadway Broadway Title.Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim-bti(©insightbb.com City,State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . Mark S Aders Seller I-Name us appeon an u,nveyvnce document Seller 2-Name as appear.on conveyance document 1094 N Old US Hwy 41 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Telephone Number S-mad 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 equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /27 C,101/7"-CS- Signature of Seller Signature of Seller /i"Ric SJ9 46eef' 7/yA? Pnnr.d Ur.-•.re wr.r v-,n,,,..vw,nnm'rn Minn,'Wry.."r Cr;,"r e,^a lin .. er .,mnrcYr GR F.BUYER(S) ANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY —Rick L Price - • buyer •N'ns appears on conveyance document Buyer 2-Name as appears an cane as .er 4250 N SR 65 Address(Number and Street) Address(Number and Street) Patoka,IN 47666- Telephone OERTY.IDENTIFY E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFT ALL I VI B T H O S S C{t OR YES NO CONDITION _ _ ' N ON C ,N OUNTY AUDITOR❑ 1.Will this property be the buyer's primary © ❑ 3.Homeste residence? Provide complete address of primary U U 4.Solar Energy Heating/Cooling System residence,including county: ❑ 1094 N OLD US HWY 41 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ © 8 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. I e vat a e e in all counties. - Address(Number and Street) ale' — //— &f — /oO — 000. SPo-0017 City,State ZIP Code •unty 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 64.1.5.5,"Real Property Sales Disclosure Act".(Note: Spouse information,Social curity and Driver's License/Other numbers are not necessary if no Homestead Deduction is being fi ) r- macaw uverl Signature of Buyer2/Spouse I" Number License/ID/Other Number •