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Homestead_Munro (2)
INDIANA SALES DISCLOSURE FOR..\1 SDI'II) SDO ID 1780724 Page 2 D.PREPARER Samantha L Cutsinger Preparer o/the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 broadwaytitle1 @insightbb.com City,State,and ZIP Code Telephone.Number E-mail E.SELLER(S)/GRANTOR(S) - Melvin L Lich Seller t•Name as appears on conveyance document Seller 2-Name as appears an conveyance document P.O.Box 513 Address(Number and Street) Address(Number and Street) Petersburg,IN 47567- Telephone.Srnnber 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 c to as re pit d by la�prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". r Sr nc of Seller - Signature of Seller E� d/rl/ I , 2- /r� P,.-rrd Nr,arre Sen.■ Un-n.,," ur,.,wrmb, P--rt Y",••n(SVrre. C^.,nrer,w.,m„n,rn, F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Michael J Munro- buRr 1-,,carne as appears on conveyance document Buyer Z-Name us appears on conveyance document 493 S Old State Road 65 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Telephone Number E-mail THE.SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEOUCFIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION /-E5—Ne—COSntION © ❑ 1.Will this property be the buyer's primary / © ❑ 3. Homestead residence? Provide complete address of primary !!! ❑ ❑ 4.Solar Energy H tC C ling ep residence,including county: ❑ S.Wind Power D ice 902 S.WASHINGTON ST. Address(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Princeton,IN 47670 GIBSON City,State ZIP Code count' ❑ ❑ 7.Geothermal Energy�l(ijin� lgitag Device ❑ ❑ 2.Does the buyer have a homestead in Indiana to he n © 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ © 9.Would you like to r ai ive .•_, I i:lents for this complete address of residence being vacated, property'via e-mail' } 4 'dr�ifilj tgQc[ `` tion including county: below. Pleas W IPA -. nM e information. Not ' coon res. Address(Number and Street) - - /,1 — / 7 - /o / - aoo. yY7-0) ? 1 City,State ZIP Cade County a ,u • inner owner cunmct name r. ., 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 bein filed. � �d S,s orate o[Ke"e/ 4YV W Signature of Buyer2/Slmuse I I1G\oti Jr `' mco og(IE110I3 Number License/ID/Other Number