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Homestead_Adams
INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2 D.PREPAP^ER Stechanie Miller Closer Preparer of the Sales Disclosure Form Title 4962 Lincoln Ave. First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 theteam(offirstadvantagetitle.com City,State,and ZIPCode Telephone Number E-mail E.SELLER(s)/GRANTOR(S) I isa I Memmer Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8614 F 750 S Address(Number and Street) Address(Number and Street) 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 a nd complete eaasfrequired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". � 7/( (/�.�-t 1 I I 11V) (t V Signature of Seller Signature of Seller I isa I MemmPr ( Of (5/ Printed Name of Seller Sian Dot DMM/D m'n Printed Name ofSeller Sian Date DM.N/UD/MY) t.BUYER(S)/,GRANTEE(S) APPLICATION_FOR PROPERTY TAX DEDUCTIONS=IDENTIFY ALL'•ITEMSTHATAPPLY .. Joshua D Adams Kristen L Miller Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2502 W 300 S (Number and Street) Address(Number and Street) Princeton,IN 47670 TIIE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TIIOSE Ti!.y ArY . YES NO CONDITION CONDITION Q ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead q residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/f)CoT 4 4201 residence, including county: ❑ 12 S.Wind Power Device nf� Address(Number and Street) ❑ Q 6.Hydroelectric PosverDd� Gibson ❑ 0 7.Geothermal Ers{ggrryNteg•(JhaWng,UMEOR City.State ZIP tide 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 ❑ 0 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) 2 za t b 360 0:30 3 14000 City,State ZIPCode County Primary property owner contact name E-mail