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Homestead_Wallace (25)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER _ Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Tide 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 patti.btiemw.twcbc.com City,State,and ZIP Code Telephone Number E-mail 1E.SELLER(S)/GRANTOR(S) I Fstate of Steohen A Reed Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 422 Lincoln Ave Address(Number and Street) Address(Number and Street) 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 144A -Sf Seller Signature of Seller Nikki D Reed Per Reo 02-- H-,2c15 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY) 'F.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL IT SI� AP - - I ... . ... . -on conveyance document Buyer 2-Name as appears on conveyance document 2749E 400 N AUG 20 2015 Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO I. t IN r- 0 ❑ 1.Will this property be the buyer's primary an ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 422 I incoln Ave 5.Wind Power Device Address(Number and Street) ❑ [ 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 ❑ 121 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) AC. - i A _18- 1 03 -ant, 6 SS -Q} 3 City,State ZIP Code County Primary property owner contact name E-mail