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Homestead_Smith (42) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER. - - Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart St Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(o)hpk-law.com City.State,and ZIP Code Telephone Number Email s E.SELLER(S)/GRANTOR(S)- , , - . Stary M Hirt Seller 1-Name as appears an conveyance document Seller 2-Name as appears an conveyance document 775 S White Church Rd 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 la% ,a d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / Sr$ature afSe'-r Signature of Seller Stacy M Hu -& —/J Printed Name of Seller ?Lan Date(mm/DO/rvrr _ ) _ Printed Name of Seller Sign Dote Vol/DR/MT) F.BUYER(S)/GRANTEE(S) APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL-ITEMS THAT APPLY . .- _.2 - Thadeus A. Smith Brvna Smith Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 307 N 5th Ave 307 N 5th Ave Address(Number and 7670et) Address(Number and Street) . THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION ��''}}�� �� IL ❑ 1.Will this property be the buyer's primary IZ) ❑ 3.Homestead alfilt 4 residence? Provide complete address of primary ❑ © 4.Solar Energy HegIigSt t gaytpmAUDITOR residence,including county: ❑ IN 2507 F Too Hat Rd 5.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 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) i - I -/5 — — OQ (oo Do I.a23- " Ciry,State ZIP Code County I Primary property owner contact name Email