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Homestead_Jamir
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D PREPARER: , °;.? _ ,`r :. %L!u_. ;y __t � _ i :'- _ .>_-. Bryceann Cutsincier Preparer of the Sales Disclosure Form Tide 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 bti(almw.hvcbc.com Ciry,State,and ZIPCode Telephone Number E-mail E.SELLERS)%GRANTOR(S). ; • _ • _ . Weber Investments I I C by Pamela Weber Seller I•Nome as appears an conveyance document Seller 2-Name as appears on conveyance document 1017W 150N Address(Number and Street) Address(Number and Street) Princeton IN 47670 Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a complete require by la�d is pared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ( Signature of Seller /// e E711/6 Printed / Signature of Seller Weber Investments I I C by Pamela Weber U 711/6 Printed Name olSeller Sign Dare(MM/ODAM) Printed Name of Seller Sian Date(MM/DO/YYIY) -F.BUYERS)/GRANTEE(S) -APPLICATION FOR!PROPERTY,TAXDEDUCTIONS=IDENTIFYALL-ITEMSYHAT APPLY: -_7_. _ _ Liooktemien Jamir Rebekah Jamir Gu "rpe as appea�conveanire Zument Boxer 2-Na a as appears on conveyance document I (/pCti / 4L i. �--C0rIa_rL1.\ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TH OS . HAT PPI YES NO CONDITION I YES NO CONDITION IZ ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead AUG residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/go€lig 'stem residence,including county: ❑ ., off/) 5.Wind Power Dice 802 E Emerson St Grp - tCi Address(Number and Street) ❑ 2 6.Hydrae ec$'' p,it Princeton,IN 47670 Gibson ❑ 7.Geothermal Energgy-m$yi3g poling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8 Is this property a residential rL /property? vacated for this residence? If yes, provide ❑ Z 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. Not available in all counties.) Address(Number and Street) Zb- I -os - j o3 -oo 3 • 4;7 l -oa ' City,State ZIP Code County Primary property owner contact name E-mail