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Homestead_Vincent INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 [D RREEARERF : `- . _ -,_.1 „_x inn7:7' 1-77,, ; F '- -T—= THOMAS L.MONTGOMERY GENERAL-MANAGER Prepare,of the Sales Disclosure Form Title 101 PLAZA EAST BLVD..SUITE 102 TRUE TITLE SERVICE,LLC Address(Number and Street) Company EVANSVILLE. INDIANA 47715 812-402-6555 closinos(altruetitlein.com City,State,and ZIP Code Telephone Number Email £.SECEER(S)/.GRANTOR(S)I� .17.. k o- y'' .. , _ .<-„ I SM INVESTMENTS I I C Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 280 F UI D PETERSBURG; ROAD 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 fQmplete as required law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Iler Signature of Seller SHANE MATTHFWS Member 03/ ' /2016 Printed Name of Seller Sian Date WM/DD/YYYIt Printed Name of Seller Sian Date(MM/DD/M7) F BUXER(S)%GRANTEE(S) APP,LIGATION)FORP,ROP.ERI7ETAXWE000TIONS IDENTIFY'AL'L,ITEMSITHATAP,I?h ° - v1 JOSHUA S.VINCENT Buye rl-Name as appears on conveyance document Buyer 2-Name as appears on convey, ce document 404 S.GIBSON STREET, '•. Address(Number and Street) Address(Number and Street) - - '-- PRINCETON, INDIANA 47670 THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE Tetg t/qX YES NO CONDITION I YES NO CONDITION GIBSONW"COUNTY AIIn!TOR Q ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ni 404 S GIBSON STREET 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device PRINCETON, INDIANA 47670 WARRICK ❑ 7.Geothermal Energy Heating/Cooling Device Ciry, State ZIP Code County ig '~!M-'/. ❑ 2.Does the buyer have a homestead in Indiana to be ❑ B•Is this property a residential rental property? vacated for this residence? If yes,provide ❑ E 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information inqudini;'goun below.Please see instructions for more information. Ty/gs(s,[) yy�-�rptXt' K �y{ ] �t Not available in all counties.) JOSHUA S.VINCENT _ I� 5°R-ba City,State ZIP Code County Primary property owner contact name E-mail