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Homestead_Paris
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREPARER3_ . - _-,T ,.._ . _ _c.___ ="�- - s;-s.;_ .r: . � _c_=' : <-,� 2,a_. Brvceann Cutsinger Preparer of the Sales Disclosure Form Title 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton. IN 47670 812-386-1687 bti(Emw.twcbc.com City.State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S `< Cnurm Fvans Ellen I Evans Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 421 Richmond Ave North 421 Richmond Ave North Address(Number and Street) Address(Number and Street) I 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 la% and is prepared in accordance with IC 6-1.1-S.S,"Real Property y Sales Disclosure Act". ...e/...t 4d7 G-�/f-f72t1� Cr/WO 1 of (n!/ZvYC�4� Signature of Seller Signature of Seller Col=Fvans�m 17 g -f7. 11j t1L Filen I. Fvans (1121(2016 Printed Name of Seller Sion Date(II /OD/YYYY) Printed Name of Seller Sion Date(H•H/OO/YYYY) F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY:ALL ITEMS_THATAPPLY:: ,..7-.7.1r Theodore Paris Adam N. Paris Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4629 S.Main St. 1 A2'L( /cyinA°y S7- Address(Number and Street) Ad[dns(Number and Street) A/// nit,Patoka, IN 47666 t i /7 CQ/Gn )14/ L/ /!O 7 / THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APP YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead 14 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling residence,including county: ❑ 0 S.Wind Power Device NO17 304 S Main St 3 Address(Number and Street) ❑ 0 6.Hydroelectric Power Device o . 20j6. Patoka. IN 47666 Gibson ❑ 0 7.Geothermal R -( ng/Cooling Device City State ZIP Code Coon 0, ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a red � -,-,,'n; e.erty vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive t taw j.ents for this complete address of residence being vacated, property via e-mail?(Provide contacPhifaglation including county: below.Please see instructions for more info mation. Not available in all counties.) Address(Number and Street) ado-01Y-c.? / O�5- e 600 5`o O City,State ZIP Code County Primary property owner contact name E-mail