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Homestead_Baker Jr
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID - .-- - Page 2 D. PREPARER Bryceann Cutsinger Preparer of the Sales Disclosure Form Title 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670- 812-386-1687 samantha.bti @mw.RVCbc.com City,Stare,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) George W. Prinzing IV Michelle L. Prinzing Seller I-Nnine as appears an conveyance dncument Seller 2-Nome as appears on conveyance document �roekBr. 7I Ci%, Cyrus (1 1 ktT. 31 co c,' w. (t,4 prcsS 'Di - Address(Number and Street)/1 Address(Number and Suter) ,/ Princeton,IN 47670- l)LUifle.11del, FL 3cV 133 Priace4ee7+t+4 Cr70- (D,,,,AcI Li i 1�-. 34433 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 require y law,and is prepared in accordance with IC 6-1.1-5.5, )t al Property Sales Disclosure Act". Signal ren .Sr r n 7/2 Siynut re it(Seller oeoi e W. ef,42 v�/7 ILL tc(Lel Vi.nii2}- - 7(?-c/l(s Pinre/Vnmrd cdm. 'tin, ivumnm�n Priced Nnnm nr carte. ere"M.o..ry.nn.mv, F.BUYER(S)/GRANTEE(S)-APPLI TION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY James R. Baker Jr. 1 r'_ t ;� 'tare; Mir Ruyeri-Name as appears on conveyance document Ruvrr?-N'nmensnppeoaa Y .•re ocu ea 605 Meridith St. ' Address(Number and Street) Address(Number and Street) JUL D 7 2015 Washington,IN 47501- U`' THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY DESTIFY AL CAIBF L�1 MAT-APPLY. YES NO CONDITION YES NO CONDITION © n 1.Will this property be the buyer's primary © ❑; 3. Homestead residence? Provide complete address of primary D El 4.Solar Energy Heating/Cooling System residence, including county: ❑ n 1523 WILLOWBROOK DR. 5.Wind Power Device Address(Number and Street) ❑ © 6. Hydroelectric Power Device Princeton, IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County © ❑ 2,Does the buyer have a homestead in Indiana to be I 'I❑ © B. Is this property a residential rental property? vacated for this residence? If yes,provide I L ❑ 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. 605 MERIDITH ST. Not available in all counties.) Address(Number and Street) ((� Imo// J.� Washinton,IN 47501 DAVIESS lo- la -0lD O , I Sq—o 3.-2 City.Stare ZIP Cede County Primary property owner contact name E-mail