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Homestead_Young (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 'DJPREPARER- -.. - - _._. CHRISTOPHER E. CARL ATTORNEY AT LAW Preparer of the Sales Disclosure Form Title 101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE, LLC Address(Number and Street) Company EVANSVILLE, INDIANA 47715 812-402-6555 closings a)truetitlein com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - CAROI F ANN SMITH Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1271 S Old State Road 65 Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a d comple required by law,and ' prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". I Signature of ler q QQ Signature of Seller CAROL F ANN SMITH 01/ 1R /2015 Printed Name of Seller Sion DateSsM(M/DD/Yrvt) Printed Name of Seller Sian Date(MM/DD/YYYY) F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL I'p-EISTH A a +:D • ANDA RENEE g' D.,,.. l--hmrrem .. ce document Buyer 2-Name as appears on conveyance document 1271 S. Old State Road 65. FEB 2 4 2015 Address(Number and Street) Address(Number and Street) Princeton. Indiana 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO ION ❑ ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead 2) residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device 1971 S Old State Road 65 Address(Number and Sweet) ❑ [71 6.Hydroelectric Power Device Princeton. Indiana 47670 GIBSON ❑ [ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ (7) 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ WI 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 is • -. . Address(Number and Street) AMANDA RENEE YOUNr 24 •fl.- l ._ y00 -OOO.aoy-0,1/ City,State ZIP Code • County Primary property own' • r, E-mail