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Homestead_Abbey INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. PREPARER Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rrickera©hpk-law.com City,State,and ZIP Code Telephone Number E-mail - ._ . E.SELLER(S)/GRANT.OR(S) : .. Mid-West Development Inc Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 106 S Fifth Ave Address(Number and Street) Address(Number and Street) Princeton IN 47670 Under penalties of perjury, 1 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 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Tim Mason President U 7 / 0-1/ F Printed Name of Seller Sian Dote(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/OD/YYYY) F. BUYER(S)/GRANTEE(S)=APPLICATION FORPROPERTY•TAX DEDUCTIONS=IDENTIFY ALL ITEMS THAT APPLY . r _Bryce C.Abbey Sara J.Abbey Buyer]-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 302 Harding Avenue 302 Harding Avenue Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 1.Will this roe be the buyer's primary 3. Homestead , ❑ property ttY Y P 6' 0 ❑ � residence? Provide complete address of primary ❑ ❑ 4. Solar Ener ea •, residence,including county: ❑ 1713 Brentwood Drive S.Wind Power Dev44f�j qq Address(Number and Street) ❑ M 6. Hydroelectric PoiTT IJacZ015 Princeton, IN 47670 Gibson ❑ 7j 7. Geothermal Ene • Heating/ oolin: Device City,State ZIP Cade County v�:. § f!p;;iental property? ❑ fl 8. Is this p er p p y? Ej ❑ 2. Does the buyer have a homestead in Indiana to be '� C tF®Ldtts for this vacated for this residence? If yes, provide ❑ ❑ 9.Would you like to receive complete address of residence being vacated, property via e-mail?(Provide contact information including county: below. Please see instructions for more information. 302 Harding Avenue Not available in all counties.) Address(Number and Street) Princeton, IN 47670 Gibson 6- Ia-06-go( nod. sba-o,)g City,State ZIP Code County Primary,property owner contact name E-mail