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Homestead_Boxell INDIANA SALES DISCLOSURE.FORM SDF ID SDO ID 1794257 Paget D.PREPARER • Bryceann Cutsinger Preporer ofthe Sales Disclosure Form Title 226 W.Broadway SI. Broadway Title.Inc. Address(Number and Street) Company Princeton,IN 47670- • 812-386-1687 samantha.bti@rnw.twcbc.com City,.State,and ZIP code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - Joey M.Boxell Belly Jo Boxell Seller I-Name as appears on conveyance document Seller 2.Name as appears on conveyance document 524 W.Mulberry St. 42 W.225 N. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton,IN 47670- Under penalties of perjury,)hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as r-- , , by law,and is prepared in accordance with C 6-1.1-5.5,"Real``•roperty Sales Disclosure Act". 4:. i ' ` 2 nature of Seller Signature of / r r • . J©�( M ilC� g 4J /'f Sr 7" 1• Preyed N-m"rr RA etc Oct. uurnnrTA P.:IONS-I falter 1 i L li �vu,nnmvn F.F.BUYER NTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-I FENTIFYALL I S H AP 1 Alex J.Boxell —7;;Nnect s appears on conveyance document Buyer 2-Name as appears on conveyance document 2045 N.Old Petersburg Rd. AUG 8 2014 Address(Number and Street) Address(Number and Street) 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 YES ABN- © ❑ 1.Will this property be the buyer's primary © ❑ 3. Honlestea residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System residence,including county: ❑ 2045 N.OLD PETERSBURG RD. 5.Wind Power Device Addre,s(Number and Street) ❑ © 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIP 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. Not available in all counties.) - Address(Number and Street) 26- O5 -31- .00 -boo . /re-02 7 City,State ZIP Code County Primary property owner contact name E-mail . 0