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Homestead_West (5)
INDIANA SALES DISCLOSURE.FORM SDI:ID SDO ID 1801154 rage 2 D.PREPARER Samantha Cutsinger Preparer of the.Sales Disclosure Form Tide 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(SyGRANTOR(S) Joseph S Emerson Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document 420 E.Broadway St 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,c�ompkte`assrrequired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /�SriAutotu,,re a/Seller Signature of Seller .jas?pi-. SErc In . 11 'la /L-i Prin,nd Alnmnidfnrrn- Um elan nfe ninny!v) Pnn,nrl Ain mn ofcolirr � ��(( n»',^ F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMSgt_gtAAA(�,PLtr Quaid West THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY ME IFY ALL OF THOSE THAT APPLY. YES NO CONDITION NO CONDITION - © ❑ i.Will this property be the buyer's primary © ❑ 3.lomestead residence? Provide complete address of primary M-1cT 4.sznarcilagy eating/Cooling System residence,including county: ❑ ri 420 E. BROADWAY 5.Wind Power Device Address(Number and Street) ❑ © 6. Hydroelectric Power Device Princeton, IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.Stare DP Code County ❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ © 8. 1s 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) ac_is_o-1_ao3-00/. 988-0 a 8 City,State ZIP Code County Primary property owner contact name E-mail