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Homestead_Waite INDIANA SALES DISCLOSURE FOR,I SDF II) SDO ID 1796493 Page 2 D.PREPARER Peggy A.Ralston Title Assistant Preparer of the Sales Disclosure Form Tide 3101 N.Green River Road Suite 130 Columbia Ttle, Inc. Address(Number and Street) Company Evansville,IN 47715- 812-471-8563 pralston @columbiatitlegroup.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - . . GAW Properties,LLC by Anita J.Waldroup,Secretary GAW Properties,LLC by Hugh M.Fulton,President Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document P.O.Box 1077 P.O.Box 1077 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton,IN 47670- Under penalties of perjury,I hereby certify that this Sales Disclosure,to they best of my knowledge and belief,is true,correct an r "ample[ as requ• ed b. law,and is prepared in accordance with,IC •-1.1-5 "Real Pro. • ' Sal-. I sclosure Act". , A, el �� '. �Sign.�ref � - • 1 C . f ,/ /• 1- - iL 1 /�; Pei well',Irma°I Cain R.-n lints.On.On Tt?i Pgbt ...'n me of Caner cinn Ono,VI.'r", 1,11 F.BUYER(S)/GRANTEE(S)-APPLI ATION FOR PROPERTY TAX DEDUCT!I S- IDENTIFY ALL ITEMSTHAT APPLY - Darwin G.Waite THOSE THAT APPLY. CD Y YES NO CONDITION YES NO CONDITION /)1 �t � © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead ;�l..ls)(;fiJ(:.0p1.A residence? Provide complete address of primary eirT '7 r P P rY ❑ © 4.Solar Ener�y'Hu'�tmeCablifigkig€thTrOR residence,including county: ❑ 7973 S.ANDES LANE 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Ft.Branch,IN 47648 GIBSON ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ fl 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. /J� I L/�� Not available in all counties.) Address(Number and Street) /1111_ -lof - 103-D01. 193-cab C.ry,State ZIP Code County VVV��`555��� sr Primary property owner contact name E-mail