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Homestead_Pollock (3)
INDIANA SALES DISCLOSURE FORM SDF ID _ SDO ID 1795186 Page 2 D.PREPARER _. _ _ _. . - Patti Kolb Closing 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 patti.bti @mw.twcbc.com City,State,and 71P Code Telephone Number Email .E.SELLER(S)/GRANTOR(S) .. _ _ _ .. _ . Marvin M Reed Nina L Reed Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2269 N Miller Reed Lane 2269 N Miller Reed Lane Address(Number and Street) Address(Number and Street) Princeton, 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". ina u,(;...?nt d ‘71.4.y.._ `> R1 e.4 Signature of Seller Signature of Seller kAR,V/A/ M. KEEO 1p—Z41 - (t Ni La ! Reed G -zY - )a/ Print,'Naman(Sanor e%-,D•-ren•••."'vrwn P-,,•MYnmo nrcpPer g-, nrtan„i"r• „� 'F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAXDEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY' 1 Jed A Pollock Tonia R Pollock Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on romaynnce document 401 Harding Ave 401 Harding Ave Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton,IN 47670- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION JUN 2 5 2014 © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Dug/C olil Sys residence,including county: d� wer �.n 2699 ees((.NumberrandSnat)ANE ❑ © 6.HyIdr02IAVettl oPP Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State 2IP Code County © ❑ 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. 401 HARDING AVE Not available in all counties.) Address(Number and Street) U / � /� Princeton,IN 47670 GIBSON Q&' 4S-30 - f0©'W1. IOoC ' Da, / City,State ZIP Cade County / Primary property owner contact name E-mail