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Homestead_Kelley
INDIANA SALES DISCLOSURE TORSI SDI:II) SDO 11) 1799381 Page 2 D.PREPARER Samantha Cutsinoer 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 Dry.State.and ZIP Code Telephone Number E-mad E.SELLERS)/GRANTOR(S) Justin Boyd Jacy Fox Seller I-Mime us appears on m�vrsaner document Seller:-Na as 1paeanon conveyance document 2679 S SR 57 2679 S SR 57 Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Oakland City,IN 47660- 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 t IC 6.1.1-5.,%al Pr rty Sales Disclosure Act".rh •s ana:ur Sr annr n der r 3 �.. d o9 • : v/l Jnc( i Fox .aid glaq/IL1 n.........N--• .rs,,,.. ..n.. . , wywy. Pd...-I .or o-p.. c;,,,,rw.,,.,..,,,,•,m.n F.BUYER(S)/GRANTEE S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS— ALL ITEMS THAT APPLY Shaun W Kelley Buyer I-Name es appears on convnance document Buy erg-Name as appears on conveyance doe 4,e 604 Address er Ancet n,IN ar and Street) Address(Number and Street) Princeton,IN 47670. THE SALES DISCLOSURE FORM MAIBE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTHIs PROPERTY. IDENTIFY ALI.OF 7H 'Et?'(T. e.'+•r, YES NO CONDITION S NO CONDITION CO -r,,,..j © ❑ 1.Will this property be the buyer's primary �Q—❑ 3.Home '. AgU�y residence? Provide complete address of primary ,--I ar Energy Heating/Cooling S./). residence,including county: ❑ ❑ 5.Wind Power Device 2679 S SR 57 .4ddresc(Number and Start) ❑ ❑ 6.Hydroelectric Power Device Oakland City,IN 47660 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device Coy State ZIP Guar County © n 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. 604 E.WATER ST. Not available in all counties'.) Address(Number and Street) "� Princeton,IN 47670 GIBSON O% /3-a6.0.19_ ,6 - 6Q/, £o?V an Cite Stott ZIP Code County Primary property owner contact name E-mail