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Homestead_Buckman
INDIANA SALES DISCLOSURE FORM SDI:II) 500 ID 1795141 Page 2 D.PREPARER Kimberly A.Lewis Office Manager Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number mid Street) Company Princeton,IN 47670- 812-386-1687 kim.bti@mwAwcbc.com City State,and ZIP Code Telephone Number E-mail E.-SELLER(5)/GRANTOR(S) • James R.Basham Estate Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 422 E.Spruce St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- 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, d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". `cimcSE a�-ant .h5,�rno.e,G-�k,.Pe- gnature of.Seller Signature of Seller ,fir. ( IS1A- ioc / j Printer!A,,II erca re• Cro uii 1 PrrthN Na "/Cvlra Chn nine soya,ivn" F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Anthony Buckman Buyer I-Nome as appears on conveyance document Byer 2-Name as appears on conveyance document 1030 S.Prince St. FILED Address(Number and Street) Address(.Number and Street) Princeton,IN 47670- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FUR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT, PLY, YES NO CONDITION I YES NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3.HonlesteacPIBSON COUNTY AUDITOR residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: 422 E.SPRUCE ST. ❑ © 5.Wind Power Device Add,esc(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ ❑ 7.Geothermal Energy Heating/Cooling Device Cite.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) 3.6 1 a-Di a01 Dm. iasoa City.State ZIP Code County Primary property owner contact name E-mail