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Homestead_Perkins (2) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1809215 Paget D.PREPARER Bryceann Cutsinger Prep Tier of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Stern) Compony Princeton.IN 47670- 812-386-1687 samantha.bti@mw.twcbc.com City,State,and ZIP Code Telephone,Number E-mail E.SELLER(S)/GRANTER(S) Douglas Alan Johns Robin Dawn Johns Sella I-Name us uppcun on mnve.rmte document Seller?-.Nome in appvr.on mnveryvnce document 205 N.Second Ave. 205 N.Second Ave. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- 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 ant coin t lete as required by law,and is prepared in accordance w' • C 6-1.1-5.5,11-.I Property Sales Disclosure Act". •.Sig��rell Sent- ea:uire of Seller -Moir r r .- Joh., ' 6 - le -/r , - o o.,., J o1At\5 6,-Ia-1 Prvad No m:W.. ch.Ono • n n»'n Prvrnd'e a C.Por qua nrrnlw.in"'Yrer . F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Dada Ann Perkins Buyer 1-Name as appears on conveyance dricumen: Buyer?-Name as appears an convemnce document 601 HARDING AVE Address(Number and Street) Address(Number and Street) Princeton,IN 47670- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPL /r J YES NO CONDITION YES NO CONDITION t/ < © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead o/e , cWs residence? Provide complete address of primary ❑ © 4.Solar Energy lie&I , °r 'stem residence,including county: ❑ © 5.Wind Power Device OUNT��;� 205 N.SECOND AVE )'A Address(Number and Street) ❑ © 6.Hydroelectric Power Device UD/j Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling De9$e City,State ZIF Code County ❑ 0 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) GT�q 6 -///off . /0 5`-/ 060. 00?(- 0A3 City.State ZIP Code County Primary property owner contact nuine E-mail