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Homestead_Mull
INDIANA SALES DISCLOSURE FORM SEW ID SDO ID 1809673 Page 2 D.PREPARER - Bryceann Cutsinger Preparer of the Sales Disclosure Form Title 226 W.Broadway Address(Number anti Street) Company Princeton,IN 47670- 812-386-1687 samantha.bti@mw.twcbc.com City,Stare,ondZlP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Robert E.Heidi Shawna M.Heldt Seller I•Name as appears an conveyance document Seller 2-Name as appears on conveyance document 7502 E.400 N. 7502 E.400 N. Address(Number and Street) Address(Number and Street) Francisco,IN 47649- Francisco, IN 47649- Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and omplete as re aired b I w,a d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". pc Signature of Seller / Signature of Seller OhQr 'f E M e ( dT )// 7//C �k4L' na M 1-I pqy W :31/c P,i"rod Nvum nrcaller [Nm•MMmnmYY1 Paved Name nfc I'et 1� .: ruam"mvtl F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL rfrviA v J Ryan P. Mull Katy D.Mull � 2 0 2015 Buyer t- ame as appears on conveyance document Buyer Z-Nnmeas appears an conreyanced r5t)Pnt 996 S.250 W. 996 S. 250 W. Address(Number and Street) Address(Number and Street) 04cs�/1^` tr--- Princeton,IN 47670- Princeton.IN 47670- (;is COUNTY AUDITOR 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 I •. • •N El ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestea• residence? Provide complete address of primary ol 0 . • -eating/Cooling System residence,including county: ❑ 7502 E.400 N. S.Wind Power Device Address(Number and Sweet) ❑ © 6. Hydroelectric Power Device Francisco, IN 47649 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,Stare ZIPCode 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. 996 S.250 W. Not available in all counties. Address(Number and Street) Princeton, IN 47670 GIB SN 24 —h& -AO _ ao0 -000' 924 "0/7 City Stare ZIP Code Coun -irimare property owner contact name E-ma' •