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Homestead_Stillwell INDIANA SALES DISCLOSURE FORM SDI:II) SDO II) 1780228 Page2 D.PREPARER Samantha Cutsinger Prep ter of the Soles Disclosure Form Title 226 W. Broadway Broadway Ttle,Inc. Address(Number and Street) Cumpanr Princeton, IN 47670- 812-386-1687 broadwaytitlel @insightbb.com City..State,and ZIPC.cde Telephone Number E nod E.SELLERS)/GRANTOR(S) Farren G Terry Victoria A Terry Seller I-Name as appears on conveyance document Seller 2-Name ai appears on conveyance document 214S180E 214S180E Address(Number and Street) Address(Number and Street) Princeton, IN 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". Eck u .� . Cr �1,_. Lit-;'2; C2. 0 C-i t r� • Signature of.Seller .y cure of Seller 1— ....a:ta.- . S 9- a ,- 2o, I Vic\-OCCa- f- lef fc{ q'D-1-13 Amor • e,Nrm ✓'parr cu-n"te,asn If/HMI M,4, nI 6M Gar Oetn NIVa'IM,Tr .BUYER(S)/GRANTEE(S) APP (CATION FOR PROPERTY TAX DE VZFY ALL ITEMS THAT APPLY Andrew D Stillwell Ashly R Stillwell Buyer I-Name as appears a ova-once document yer 2 Name us appear. anvwaeAurumenr no Isers •y Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton,IN 47670- THE SALES DISCLOSURE FORM MAY BE.USED TO A PPLY FOB CERTAIN DEDUCTIONS FOR 11m PROPERTY. I HENLEY ALL OE THOSE THAT APPLY. YES NO CONDITION _ Y I CO.NDIT'. © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead 4 residence? Provide complete address of primary = II 4 Snla •• o -ear tg/Iol 1 y [erID residence,including county: ❑ 214 S 180E S.Wind Power Device Address(Number and Street) ❑ ❑ 6. Hydroelectric Power IOLijRe3 0 Z013 Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ B. Is this property a resi,�! Mat r I - •7�.lerty? ❑ CI 2.Does the buyer have a homestead in Indiana to be 1. �jlmlir vacated for this residence? If yes,provide ❑ ❑ 9.Would you li��KK}}uX '"iw -I � i ��yy�sfpJ�''��Is complete address of residence being vacated, property via e-s 1 . )'0 11}) r aRell orhYDtion including county: below. Please see instructions for more information. Not available in all counties.) Add,ea(Number and Street) cla o9Vo°Q-'Or e �Jf—r/UJ 2 City,State ZIP Code County Primary property owner contact name E-mail