Homestead_Palmer1` ,I,/
� [\-DI.�,\A SALES DISCLOSGRE FOR�f
�� SDFID SDG� 466080
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I/ D. PREPARER � ' � .
KATHY DUFF TITLE CLERK
Prepam oJthe SclesOUdoa.re Form Title
80 E MAIN STREET SUITE 702 CONTRACT PROCESSING AND TITLE
Addrea(NUmberrtnd5crece) Compa�ry
PLAINFIELD, IN 4676&
E. SELLER S GRANTOR S
SECRETARY OF HOUSING
Seller 1- Name as oppevrs om m�mvnce document Se!!e�? - Yame os apPeors on rom'eyvnce dotvment
40 MARRIETTA STREET
Addres (Numberond Str.rtJ Addrvs (Nwnber and Street)
ATLANTA, GA 30303-
Ciq�. Smt� and ZIP Code c�: s��e. o�� z�r coee
� Emoil Tet Mne,YUm6er E-mail
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Under enal[ies of perjury, I hereby certify [hat [his Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and'c�ple[e as required by la , and is prepared in atcordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act".
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S -APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
BARBARA E PALMER
Bvyer]-Nnmeasappearsonc nredo�umrn� Bu�rer2-NOmeasappearsonconveyvnmdoovment
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Addr� (Numfxr md Rreet) Addrus (NUmber ondSheet)
PRINCETON, IN 47620-
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E�mail TelryhoneKUmber E-maif '
THESALFSOISClOSUREFORMMAYBEOSEDTOAPPLYFORCERTAINOEDUCfI0N5F0 . E FTHOSETNATAPPLY.
YFS NO COYDITION YFS KO CONDITION
X� � 1. \M1'ill this property be the buyer's primary ❑X ❑ 3. Homestead
residence? Provide tomplete address of primary rgy Heating/Cooling System
,/n ,� � �resid�cOe�ncl�qdin�county: � �
�'fV ��� CEah �2aJe �0� S.WindPowerDevice
('� as(Numberand5tmtj ❑ Q 6. Hydroelectric Po���er Device
�+ �L� 2 � S v ���/ e,l N �7%i�Jr ��e.$�N � � 7, Geo[hermal Energy Heating/Cooling Device
Ciry.SmteZlPCode Counry•
�� 2. Does the buyer have a homestead in Indiana m be � �$� �s [his properry a resideniial rental property?
vacated for [his residence? If yes, provide ❑ Q 9• Would ��ou like to receive rax siatements for this
mmple�e address of residence being vaca[ed, property via e-mail? (Provide conmct informotion
including county: 6elow. Please see instructior�s jor more information.
Nn[ availab�le/iJ7 a!I counties.)
Address(NUmEerarrd5rreetJ � / '/� _ �� - ///O I DO ��`�//� A J �
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Ciry.SmtrZ/PCOde Caunry
Pnmary ymoem owner ronma name E-mail
Under penal[ies o(perjury, I hereby certify Iha[ this Sales Disclosure, [o the bes[ of my knowledge and belief, is [rue, correc[
and comple[e as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social ecurity and Driver's License/Other numbers are not necessary i(no Homestead Deduction is
bein filed�
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