Homestead_Staat INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Bryceann Cutsinoer
Preparer of the Soles Disclosure Form Title
226 W. Broadway Broadway Title. Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 samantha.btiemw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)1. • '.'__ .._ :IC. .::::. .1„,..- ',-; .....: ,,-... .711..::::'i.':."..,S.-..-7 :7-:..,./- 7.". _ .'r:-_-,•77.-ci C H--_-‘1 ' r"-±
Cathy Harnenau
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1745 N 150 E
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
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 requi-ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Seller Signature of Seller
Signature of
Cathy Harnenail 7 )5 )1,
Printed Name ofSeller Sian Date(OUDO/YITY) Printed Name of Seller Sian Date(P4m/DD/ITYr)
LIYER(S)/GRANTEE(S1=APPLIE.:6■TIDNTOR PROPERTY-TAX DEDUCTIONSS1DENTIP/AULITEMS.THATAPPLY..::1,:
Eric R.Sleet Lori A. Staat
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1925 S.Main St. 1925 S.Main St. FILED
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APP •
YES NO CONDITION YES NO CONDITION
GIBSON COUNTY AUDITOR
17) 0 1.Will this property be the buyer's primary 0 111 3.Homestead
residence? Provide complete address of primary D 0 4.Solar Energy Heating/Cooling System
residence,including county:
El IA 5.Wind Power Device
1745 N 150E
Address(Number and Street) 111 Z 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson 0 Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El Z 8.1s this property a residential rental property?
0 D 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide Ill 17] 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.
1925 S.Main St. Not available in all counties.)
Address(Number and Street)
Princeton, IN 47670 Gibson (a -. DS-SD- 4 no-Dr)(. (0E4:--Otn
City,Stote ZIP Code County
Primary property owner contact name E-mail