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Homestead_Westlund INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1781689 Paget I D.PREPARER - Kimberly A.Lewis Office Manager Prepurer al the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Numberand Street) Company Princeton,IN 47670- 812-386-1687 kim-bti @insightbb.com City.State.and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTER(S) - Henry Albert Pohl Phyllis Jean Pohl Seller l-Name as appears on tvnveyvnce document Seller Z-Name us appears on conveyance document 1812 Cottonwood Dr. 1812 Cottonwood Dr. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton.IN 47670- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co• plete as required by law and is i repared in accordance with IC 6-1.1-5.5," al Property les Disclosure Act". (f (tiejo r .Signor.re of Sell r Signature If Seller / - , 4/der/ °or 1 P • /iS can — h ) (lb t)1/3 nit- -. Elm.. - F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-.IDENTIFY ALL ITEMS THAT,APPLY Eric M.Westlund Demitria J.Dycus Buyer I-Name as appears an conveyance a document Burr 2-Name as appears on conveyance document 127 Lake Inwood Dr. 422 E 300 S 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 YES NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestea gg� residence? Provide complete address of primary ❑ © 4.Solar Ener'eiirho S!I); residence,includin coun ❑ © b�g��JgJ��J��J 1812 COTTONWOOD DR. g r}' 5.Wind Power evice Address(Number and Street) ❑ © 6.Hydroelectric Pg p-De1Ugd1 13 Princeton,IN 47670 GIBSON YCt/ ❑ © 7.Geothermal Energy Heating/Cooling Device City State ZIP Cade County _ El 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property eIesiiie Ial operty? vacated for this residence? If yes,provide ❑ © 9.Would you IikeJsFIMN atements for this complete address of residence heing vacated, propertPeaC I '(YQ DfeV4ftltlTTtWormation including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) ' a—eZ 'Igo.ctoo.£ Q_ Q 02y City,State ZIP Code County Pnmory propertyantler can tact 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 informatio ,Social Security and Driver's License/Other numbers are no necessary if no Homestead Deduction is b. fled.) Ii Un� Signature of Bb 1 Signature of�uyer2/Spous.' T'