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■ INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1786699 Paget D.PREPARER • _ - _ - - - - - - - - - - - - Kimberly A.Lewis _Office Manager Preparer of the Sala Disclosure Form Title 226 W.Broadway_ Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim.bti@mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SECLER(S)/GRANTOR(S).. • • 2 Shawn P.Heavrin Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3355 E 100 N Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Telephone Number 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". Signature of Seller Signature of Seller Sh t.v.n P j e0-vr,'n 1-6 - I t( Prirrrd nritur r cr--D,''e t vvgnnrvnv, Primed Nnm nice Pr r 'F. cin�Onr triton rwvn'n BUYER(S)/GRANTEE(S .APPLICATIONFORPROPERTYTAX_DEDUCTIONS-:IDENTIFY'ALL ITEMS.:THAT APPLY,.- - • Danielle M.Fenwick Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 322 N.Second Address(Number and.Street) Address(,Number and Street) Princeton,IN 47670- Telephone Number E-mail 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.Iomestead residence? Provide complete address of primary ❑ ❑ 4.Solar Energy residence,including county: ❑ © 322 N.SECOND AVE. 5.Wind Powei vi Address(Number and Street) ❑ ❑ 6.Hydroelectric Poi r eivi e Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Ener e 1 atiA�loling Device City,State ZIP Code County ❑ ] 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a sidenti I eel al ert vacated for this residence? If yes,provide ❑ ❑ 9.Would you like t ements for r this complete address of residence being vacated, property eosp>pjlt(Qjtgpljtre cyygroj tiegmation including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) 0:011- I 2 COD.LW City.State ZIP Code County— 103 ©Oo•(�4/V —� Primary property owner contact name E-mail 7