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Homestead_Hardiman (18)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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.blamw.twcbc.com City,State,and ZIP Code Telephone Number E-mail I EI.SEL'LER(SMRANTOR(S)I - - TT David R Sandusky Matthew D Sandusky Seller]-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 530 W Blaine Ave 530 W Blaine 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 AO,lete s quir• t by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / ����Ili► C//.�� ..- _, Signature of Seller Signature of Seller David R Sandusky f A Matthew D Sandusky 3 o -/ Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYYI F;BUYER(S)%GRANTEEMT APPLICATION;F,DWri'OPERTYL,TAX DEDUCTIONSI IDHNTIFYJALEaTEMS THAT'ARPCYf ::' _ i_ ' _Susan L. Hardiman Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 539 W Blaine Ave Address F T ,F, Address(Numberand Street) Address(Number and Street) _Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE T!`t�P YES NO CONDITION YES , NO CONDITION GIRSnN rnUKITY AUDITOR 0 ❑ 1.Will this property be the buyer's primary [7] ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 530 W Blaine Ave ❑ LA 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County IZ ❑ 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 ❑ IA 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. 529 W Blaine Ave Not available in all counties.) Address(Number and Street) Princeton, IN 47670 Gibson ac -la- l ' 33't - Opt. 6a I. 6,)& City,State ZIP Code County Primary property owner contact name E-mail