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Homestead_Whitler INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1799739 Page 2 D.PREPARER Samantha Cutsinger Prepareraf 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 ZIPCode Telephone Number E-mail E.SELLER(S)/GRANTOR( James F Russell Thelma B Russell Seller 1•Name as appears an conveyance document Seller 2-Name as appears an conveyance document 1266S Old SR 65 12665 Old SR 65 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,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller FILED Pn' mANnm nl U•ar• Gun ar,.no•ma M'wi Pri uni N,, of Gn - Gr-Dry n n■.",nAYYN F.BUYERfSILGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT SJW-LYl $ I v1. , `Anthony D Whitler Jodil Whitler Euyirt•namearwppears on conveyance document Buyer ame as appears on conveyance document 10019 S.Partridge Ave. 10019 S.Partridge Ave. I o Juan: Address(Number and Street) Address(Number and Street) GIBSON COUNTY AUDITOR Haubstadt,IN 47639- Haubstadt, IN 47639- 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 N0 IXt-NDILO © ❑ 1.Will this property be the buyer's primary (e© ❑ 3. Homestead residence? Provide complete address of primary `-❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1266 S.OLD SR 65 ❑ © 5.Wind Power Device Address(Number and Street) ❑ © 6. Hydroelectric Power Device Princeton, IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 2. Does the buyer have a homestead in Indiana to be ❑ © 6.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. 10019 S PARTRIDGE AVE. Not available in all counties) Address(Number and Street) Haubstadt, IN 47639 GIBSON 2 (o -/ 1-/7 _Yet)_ 00(e SY a -0 a-( City.State ZIP Code County Primary property owner contact name E-mail