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Homestead_Perry (19) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2• 0.PREPARER j Britany Barnes Title Agent Preparer of the Soles Disclosure Form ride 226 W Broadway Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com City,State,and ZIPCode Telephone Number E-mail• E.SELLER(S)/GRANTOR(S) j Jeffrey G McNabb Pamela S. McNabb Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8797 Crimson Ct 8797 Crimson Ct Address(Number and Street) Address(Number and Street) Terre Haute, IN 47802 Terre Haute, IN 47802 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 required by law,and is prepared in accordance with IC 6.1.1-5.5,"Real Property Sales DDis'closure Act". O ,c,,, 6C pa ___0 5 '777c A cii,A_- naNre eller tgnature of Seller Jeffrey G.McNabb 0 7/2�/ /� Pamela S. McNabb T r - 2 t lacf/ Printed Name ofSeller Sign Date[M vD/YYYI) Printed Name of Seller 1 ;•to(MM/DD/YYY1) F.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AL TE dr vik atthew W.Perry A I� 20 6 •• • appears on conveyance document Buyer 2-Name as appears on conveyance'd✓kttme�t 604 N Gibson St Address(Number and 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 THAT APPLY. YES NO CONDITION ES —w^ rnstunoN 0 ❑ 1.Will this property be the buyer's primary r ❑ 3. Homestead residence? Provide complete address of prima , U ,Ui 4.Solar Energy Heating/Cooling System residence,including county: ❑ g 5.Wind Power Device 216 E Glendale Street Address(Number and Street) ❑ f2 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 12 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 ❑ El 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. Notave' e• - -- - Address(Number and Street) 0Z Q1 -/A -DG -'fa3 - 06q.3 c1/ -0 )- 8 City'•State ZIP Code County E-mail