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Homestead_Banks (2)
INDIANA SALES DISCLOSURE.FORM SDF ID SDO ID 1807103 Page 2 D.PREPARER Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 patti.bU@mw.twebc.com City.State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - Paul T Beyerie Seller 1-Name as appears on conveyance document Seller 2-Name as appears on canveyvnce document 507 Brownlee Ave 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 lilete as re uired"Gy law,and is repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Si. cure of Se roc Signature of Seller I - e Y �re!!re+slfit iffff...: , ..,. • .., irV!iaatl:Vara. .m .. F.BUYERS) GRANTEES)-AP" (CATION FOR PROPERT TAX DEDUCTIONS-IDENTIFY ALL IT . f A, APP I Kenneth T 6a ) - Buyeri--Name as appears on conveyance document Buyer2 Name orappears on conveyance document 6285 Race St APR 20 2015 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Y THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION °■"° Q ❑ 1.Will this property be the buyer's primary C © ❑ 3.Homestead 2 residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ 628 S RACE ST 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County El 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. _ •. •'ma ema COI • . Address(Number and Street) li 2 . — /2 -o7 - (/o3 - &3, /8Y- ox. City.State ZIP Code Count • nary property owner cantor n. . E-mail •