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Homestead_Young (20)
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1792233 Page 2 D.PREPARER Samantha Cutsinger Preparer of the Sales Disclosure Form Tule 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 Samantha.bti@mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Cody B.Ferguson Kenneth E Ferguson Seller I Name as appears on conveyance document .Seller?-Name as appears on conveyance document 2003 E.Lake Rd. 363 S SR 57 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Oakland City,IN 47660- _ 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 C •-1.1- .5,"Real Property Sales Disclosure Act". rte' 157- et/ . ti E. i• u--- .Signature rimer ' ,Signature of Seller OG///47 /NA,col• E. `eeigsa ref "non, P'PrI4',r nrag,r i:,,n...cw, .n m•r., F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Jered A Young Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document 329 S.5th Ave.,Apt 12 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- THE SALES DI SCLOS URE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH P J YES NO CONDITION I YES NO CONDITION © ❑ 1.Will this property be the buyer's primary B ❑ 3.Homestead II''nnII 99p1 residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/M4 gz,14 residence,including county: ❑ 2003 E.LAKE RD. 5.Wind Power Device Addres(l:unih.v and Street) ❑ © 6.Hydroelectric PlIower'4g1 — Princeton,IN 47670 GIBSON ❑ ❑ 7.Geothermal F e1 41t‘f1 MctifloolipoR City.State ZIPCode County ❑ Uj 2.Does the buyer have a homestead in Indiana to be ❑ © 8.1s 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) 002.S3 2—D0F City.State ZIP Code County Primary property owner contact name Email