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Homestead_Thompson (8) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1799073 Paget 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@rnw.twcbc.com City,State,and ZIP Code Telephone Number &mad E.SELLER(S)/GRANTOR(S) Richard Wade Smith Monica Joy Smith Seller I-Name as appears on runresvme document Seller 2-Name as appears on conveyance document 12860 S.Sunset Dr. 12860 S.Sunset Dr. Address(Number and Street) Address(Number and Street) Haubstadt,IN 47639- Haubstadt,IN 47639- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co ete aslequired by law,and is pr aced in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act". .Signature of Seller Signature of Seller PI v4:7ao G✓Ao e Sun; ti, /o//c%/ Y C' )cc1CC. �oi S„^t-;.-11-- /()- �rrl,-) nn,../1 tar ceu", Sfa-D-e io.rn•,ryw,s r'.,,.a.,n,.,d eater ti-n Or,e nH,con wry, F. m NTEE(S)-APPLICATION FOR PROPERTY TAX DEFY ALL ITEMS THAT APPLY Travis K Thomps 11 C n. me as appears on ronvnnnre document � suppearsnn ranrewnredorumew 2491 N.Miller Reed Lane 2491 N.Miller Reed Lane Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton,IN 47670- I f TH FO E SALES DISCLOSURE RANI MAY BE USED TO APPLY FOR CERTAIN DEDU17IONS FOH THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. T20 YES NO CONDITION NO s, • rN 20 1t • © ❑ 1.Will this property be the buyer's primary 4 © ❑ 3. Ilomestea I • 'S A, . •_* I residence? Provide complete address of primary MI ; ---, al-Energy Heating/Coolla5 �4- .-0.• residence,including county: }" . 604 S.POPLAR HILLS DR. k/�/ Address(Number and Street) ❑ © 6. Hydroelectric Power Device TOR Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.Store 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. 2491 N.MILLER REED LN Not available in all counties.) Address(Number and Street) n Princeton,IN 47670 GIBSON �;( _///),coq'- �y 7Q.ag 2 City.State ZIP Gu/r County {l, Primary property owner contact name E-mail