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Homestead_Miller
INDIANA SALES DISCLOSURE FORM SUP ID SDO ID 1806323 Paget Britany N Barnes Searcher Preparer of the Sales Disclosure Form Tide 226 W Broadway Broadway Title Inc Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 britany.bti @mv.twcbc.com City,Store,and ZIP Cade Telephone Number E-mail -.: . ..0 .. . - . �. -..._- '.E.rSE[LER(S)%GRANTOR(S). < :�. >- ... .- Wllme L Montgomery Seller I-Name as appears on conveyance document Seller:-Name as appears on conveyance document 205 N Fourth St. - Address(Number and Street) Address(Number and Street) Princeton,IN 47665- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act". Si;. ,C1-..e....14,--z-.0 '77-nature of Seller 7- Signature of Seller L. PrrsoW A'nm nrLPa, V�IIr•a tau/nNVm', Ci„/Mni ,•9nM'I'tt•'F.BUYER(S)/GRANTEE(S)—APPLICATION`.FOR-PROP,ERTY,TAX:DEDUC-TIONS=TIDENTIFYALLITE61STHAPAPPLY.; •:. -- - -. William D Miller Joyce Miller Buyer I-Nome as appears on conveyance document Buyer 2-Name as appears on conveyance document 303 North 4th Ave- 303 North 4th Ave It Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton, IN 47670- YES NO CONDITION I YES NO CONDITION COG © ❑ I.Will this property be the buyer's primary © ❑ 3. Homestead Ty, residence? Provide complete address of primary ❑ © 4,Solar Energy Heating/Cooling Sy Alb's-i residence,including county: ❑ © TOR 205 N FOURTH ST S.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Princeton,IN 47665 NOT APPLICABLE El © 7.Geothermal Energy Heating/Cooling Device • City,State ZIP Code 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 ❑ ❑ 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) ^/ Ciry;State ZIP Cade County Ot_////07./De-�. 9 10072 Prima°.property owner contact name E-mail • •