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Homestead_Wells (5)
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 759130 Paget _ D.PREPARER - Pegay A.Conner Title Assistant Preparer of the Sales Disclosure Farm • Title 3101 N.Green River Road Suite 130 Trustworthy Land Tale Co.,Inc. Address(Number and Street) •mpam' Evansville,IN 47715- 812-471-8563 pconner @twiitle.com Gtr,State and ZIP Code Telephone Number E-mail rr E.SELLERS)/GRANTOR(S) . J James T.Clark Nancy L.Clark Seller I-Name as appears on conveyance document Seller Z-Name as appears on conveyance document 428 S.Main Street 428 S.Main Street 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 and complete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro(p'ertyy�Sales/Disclosure Act". iii .de '�'_ .=-c. \ �,l!ct,Ll2� �Jgnature of Seller Si noaure of Seller II �CLnTh \ • eLka_C-V-, Lt QE-tQ Nftv-\c L- ChCLcL 4-30-(D, P,4-,*ml NnmunrC"R"' Ci"n rte,fuymnoiwt P•a•pe Nmmnrrger"r Cin"R-roes•,rmnntvn F.BUYER(S)/GRANTEE(S) APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Joseph W.Wells Buyer I-Name as appears on wmeyance document Buyer 2-Name as appears on conveyance document 169 E.795 S. Address Branch,IN 7 Street) Address(.Vnmberond Street) FILED Fort Branch,IN 47648- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION /I' © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead St1�I1J5IilfA,•� residence? Provide complete address of primary ❑ © 4.Solar EnergyT3e8tiiiOR� 'I�i AR residence,including county: - •—— ❑ 422 W.OAK STREET -- 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device Oty,State ZIP Code County El El 2.Does the buyer have a homestead in Indiana to be El © 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) Cry,cmre ZIP Code County 7to-IA-0-7 `o I i o o '107 - bag' Co Printery property owner contact name C-mail