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Homestead_Webb INDIANA SALES DISCLOSURE FORM SDI II) SDO ID 1795867 Page 2 D.PREPARER Samantha Cutsinger Preparer of the Sales Disclosure Form Title 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 ZIPCade Telephone Number E-mail E.SELLERS)/GRANTOR(S) • _- Mark Steven Webb - Tameika Suzette Webb Seller I-Name as appears on conveance document Seller 2-Name as appears on conveyance document • 1143 N.Main St. 1143 N.Main St. . • Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton,IN 47670- Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c p ete as required by law, d is prepared in accordance with IC •-1.1-55,"Real / oper, Sales i closure Act". Signs re of Seller s- dre let maa.k ere-,Q r (-.Jeb\ S- i9-('1 t c 9 Pnaud Nr",rrrp.n"• c:r.,rM,rvarnnrvvrn Pn'nr,.l Anna it c,fl :'. •ttrn F.BUYERS GRANTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEM pi PLY' ',,�' enjamin M Webb • Buyer -?rime as appears on conveyance document - Buyer 2-Name as appears on conveyance document 2120 Ashton Ct AUG 20 2014 Address(Number end 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 .r ., jr © ❑ 1.Will this property be the buyer's primary .2 ❑ 3.Homeste.e residence? Provide complete address of prima ❑ © 4.Solar Energy Heating/Cooling System residence,including county: • 701 S.RACE ST. ❑ © S.Wind Power Device Addrea(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ Li -7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ )0 2.Does the buyer have a homestead in Indiana to be ED © 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) d& -/01 - 07 - 41,03 -co.3. /P1-6 -0.z8 City.State ZIP Cade County Primary property owner contact name E-mail -