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Homestead_Kasinger
L\DIANA SALES DISCLOSURE FORM SDP ID SDO ID 1790358 Page 2 - "- ' j- Kimberly A.Lewis Office Manager Preparer of the Sales 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 c de Telephone Number E-mail .E:SECCER(S)/GRANTOR(S). ±._s- _:ter :v 715:1-1 L.Davis _ Seller 1.Nome as appears on conveyance document Seller 7-Nome as appears an conveyance document 3371 W.Mary Roberts Dr. _ 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 mplete as required aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ,L. - £ . Signature of Seller , Signature of Seller Q N;-->-A /, 94?i) 5 id•- /5/ Pdnt+A N.'T"oLPdb. Cie. [ nn/yyr,. Prn•H Pr^la n(idGr CFn net rWetl •F;;13.117RR(S)/G• • E(S).,APPLICATION'FOR.PROPERT,Y.TAX'DEDUGTIONS -Inrn EV'Al f TEMS_THAT`APPLYtr 1 _ Carrie L.Kasinger 1}r ian Ka s i n• - '• .erl-Na,-• •.pears on conveyance document Ba}a --Name as appears on conveyance.. -ment 585 W. .mock St. 5: 7.—rr"jnaq Address(Number and Street) Address(Number and Street) g g� Princeton,IN 47670- Princeton , IN 47670 F p EH D YES NO CONDITION YES NO CONDITION /�� © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead J(tine residence? Provide complete address of prima • 3. 7 -- . - ergy Hearin C T��^""""'YYY"TM��"'^"""' residence,including county: gy g/ °811 'N�IDUNTY AUD TOR 3371 W.MARY ROBERTS DRIVE ❑ © 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 ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 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. Not available in all counties.) Address(Number and Street) City.State ZIP Code County 0,0 —/l/d —/d0— 00 0x20? 9 Primary property owner contact name E-mail