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Homestead_Tingley
INDIAN,\SALES DISCLOSURE FORM SDI:ID SDO ID 1789990 Page? D.PREPARER • . • Samantha Cutsinger Preparer of the Sales Disclosure Farm Title 226 W.Broadway - Broadway Title.Inc. Address(Number and Street) coin pant Princeton,IN 47670- 812-386-1687 samantha.bti @mw.twcbc.com City,.Sone,and ZIP Cade Telephone Number E-mail E.SELLER(S)/GRANTOR(S) • - - - - ' - Dustin R Hudson Janna S Hudson Seller I-Name as appears on rum-eyame document Seller?-Name as appears on conveyance document 228 E.Monroe St. 228 E.Monroe St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton, IN 47670- and complete as required by law,and is prepared in accordance wwith IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / 1..d-►.� ..1.��. .� • / l _ J,4LJ i L17rCN-t �4r ALAI • _.• . ._tJn c i. 'AA Swowre of Seller t r t fmnatare of Seller CA 1,3 . ►.• • - 4 ID I . c� ma st /3 DSO . 4-10 -I nn.,..H Nrrw re- i.. CNa O".r'vv.nn.nvn P--m41'ar,rnt trp.r P"r Or'r,uu'OPTM^• F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX•DEDUCTIONS`IDENTIFY ALL ITEMS--THAT APPLY - Mark D Tingley Wendi L Tingley Buyer I-Name as appears on conveyance document Buyer?-Name as appears on conveyance document 903 W 5th St. 903 W.5th St. Address(Number and Street) Address(Number and Street) Mt.Carmel,IL 62863- Mt.Carmel,IL 62863 APR j 4 2014 ' 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 GIEISON 'IT' Orr—p' © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ El 228 E.MONROE ST. 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County El ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 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(NUmbe,and Sore() 21to- Ia -o1 - -to3 - oo1 .8`3Q -o a8 City.State ZIP Code County Pn'mmy property owner contact name Email