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■ • INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1806664 Page2 D.PREPARER Britany N Barnes Searcher Preparer of the Sales Disciasure Form Title 226 W.Broadway Broadway Title Inc Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 britany.bii @mw.Iwcbc.com City,State,and ZIP Code Telephone Number E-mad E.SE LLER(S)/GRANTOR(S) - - - Paula Gayle Williams Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 420 E.Oak St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- _ Un r penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c' mplete a equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". sa�a� A LP,±2Pr�rrr� ignature ofSetl r *nature of Seller 4-b Li OAyL w,-LL,.r4ms oy-osl-l5 PrUY RL215 RA ( ) <:PROPERTY/1•VYYI RiIONS-(DENT F I�E rrmrvn F.BUYY� S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL-ITE S fiH T PPL t I Tamara M McIntyre Mara,us ppears on conveyance document Buyer 2.Name as appears on conveyance document 109 S.Mill St. APR 9 2015 Address(Number and Street) Address(Number and Street) Hazleton,IN 47640- [ THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION Yt�1 1Fi6 © ❑ 1.Will this property be the buyer's primary I^I ❑ 3.Homestead residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ 109 S.MILL ST. 5.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device Hazleton,IN 47640 GIBSON ❑ ❑ 7.Geothermal Energy Heating/Cooling Device Cary,State ZIP Code County El 2.Does the buyer have a homestead in Indiana to be ❑ © 6.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) do, - -59- o3 -060. /95 -oi9 City,State ZIP Code County Primary property owner contact name E-mail