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Homestead_Robertson (4)
INDIANA SALES DISCLOSURE:FORM SDF ID SDO ID 1797906 Page 2 D.PREPARER Bryceann Cutsinger Preparer of the Sales naelasu:a Form Ti tie 226 W.Broadway St. Broadway Title.Inc. Add'eo(Number and Su en) Componpr Princeton.IN 47670- 812-386-1687 samantha.bti @mw twcbc.com City.State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Derek C.Smith Seller I-Nome m aroma.an come,vne a document Seller?-Nuene m upp,vn on connvanee dot amen: 613 N.Hart St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an/t.(rfLp ma� required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". D Sip 'al-Seller Srynamre al Seller Muni ,-141 10-7.5:--/G sM.,, �_-o..z,a'•_ 5:-"o-, " Pd-rod° . nr bar. Stun 0-m,«vm•v+tv,+ . YER(S)/GRANTS S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Kerry E.Roberts ----aye.I-•'tune ns appears on conveyance document. Buyer?-Nome as appears on conveyance document �� S211 G- . oi11 o 5k - Address(Numbn and Street) Address(:Number and Street) P i eNCe40 - , IN x/716-7 0 . THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. OCT [� q rt YES NO CONDITION S' ' NO CONDITION l C I 1 O 2014 © ❑ 1.will this property be the buyer's primary '� ❑ 3.Homestead residence? Provide complete address of primary r, ..4.Solar Energy Ileating/Cool't�ij Syst residence,including county: ❑ © `f,JPIPA+ 613 N.HART ST. 5.Wind Power Device_ IBSON COUNTY AUDITOR Address(Number and Street) ❑ in 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device Cin',State ZIPCode Count' © ❑ 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) ,IN NOT APPLICABLE „,7C-/07-0-/oat-GOaT. di=oar/ City,State ZIP Code County Primary property owner contact name E-mail