Homestead_Ross4 I�WIANASALES DISCLOSUREFORM SDFID� ~o�,
Steven �. Whitehead
Preparero(Ihe Solg Ditdosure Porm
Add�as (Number ond Stree[)
Tit/e
lompany
Princeton. IN 47670
Ciry, Smce, and ZIPCode Telephone Number E-mail
EiSELL'ERS .GRANTORS +,,:.{�- -: •'r �.`s <. T.: s:- t'.:i2,T+. �
Connie I Rosc
Se?ller 1- Rome a�s ,a/ppears on mmey'v/nte dorument Seller 2- Name as appears on conveyunce dotumen[
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Addras (Number ond 5[reet) Address (A'umber ond StreeQ
�R,uSV; lI F ; iU �77/� �
Cip:Slu[4 and7lPCade Ciry, Smte, andLPCode
Under penal[ies of perjury, l hereby certify that this Sales Disclomre, to [he bes[ of my knowledge and belief, is true, correct
and c ple[e as re�q/u/ired y law, and is prepared in accordance wi[h IC 641-S.S, "Real Property Sales Disclosure Ac[".
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Signomreof5elle� I Signomreo(Seller
ConniP f ROSS
PnncedA'ameo(Selier SiqnDote(MM/OOM'vv� PrintedNameo(Selfer Si4�IM!¢(HH/OD/YYYI'�
F. BUY GRi1NTEE S:�`�1PPL•[CATION!EOR�PROBERTY-TAX DEDUCTIONS" IDENTIF.1''A�L ITEMS;THAT`ARPLY: r'- �-'.� '
Eric L. Ross
Buye�7-A'ame rsonronveymredocument Buyer2�NOmeasappearsomm�veyoncedocumen[
7325 South 500 West
AdCren (A'umber and SvreQ Address (6'umber and Svee[)
THE SALES UISCLOSURH FORM MAY BE USED TO APPLY FOR CERTAI\' DEOUC710N5 FOR THIS
�✓ � 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Address (Number md StrreQ
Ciry. Smre ZIP CoCe Counry
❑ .� 2. Does the buyer have a homestead in indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including caunty:
Addras (A'umber and SneeQ
Ciry, Smte ZIPCode Counry
Ciry. Smte. and7lPCode
0✓ ❑
� �
� �
� �'
� �
ALL OF THOSE THAT APPLY.
3. Homes[e
4. Sola ergy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is [his property a residential rental property?
9. Would you like [o receive Wx sta[ements for this
property via e-mail? (ProvidecontocCinformation
below. Please see instructions for more in�ormation.
Nat available in all coundes.)
� � / � �I � , � �
Under penal[ies of perjury, 1 hereby cer[i(y that [his Sales Disclosure, [o [he best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/0[her numbers are not necessary if no Homestead Deduction is
being filed.) �
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Sjqnamreo � 5(qnoNreo(9vyeR/Spouse
�-,,. � R„�� 3 /� 2o/n
.�nnred Legal h'
Number
Licente/lD/Other Num6er
:�
Prin[edLegalNameo/Buyer2/Spouse SgnDate(MM/DD/YYYf�
LattSdigiLSO�BUyer2/SpouseDriver's Smte Las[SDigiGto/Sociol5ecurity
Number License/fD/O[herNUm6er