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Homestead_Bailey INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER . , Britany Barnes Title Agent Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title Address(Number and Street) Company Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - • - , ' Sharon F Kramer Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 207 S Seminary St 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Sharon F Kramer 9.-/ 7-ao/% Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/OD/MY) F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFY ALL I _-- i ,i.-AP'1 j- -• 'atherin D Bate __ ) - , •me as appears on conveyance document Buyer 2-Name as appears on cony, • d• it e ' 424 E Emerson St Address(Number and Street) Address(Number and Street) AUG 18 2016 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 YES 0 ❑ 1.6Vill this property be the buyer's primary IN ❑ 3.Homestead residence? Provide complete address of prima (j 4.yam- gy eating/Cooling System residence,including county: ❑ 0 5.Wind Power Device 207 S Seminary St Address(Number and Street) ❑ ( 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ p 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 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 ❑ 0 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 or more information. •• Oval aele in all counties.) Address(Number and Street) -24 -/A - 07 • 4/O/- 00/. ,266- cA8 City,State ZIP Code Co ty Primary property owner contact name E-mail