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Homestead_Miller (22)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - - • .z- • - . , .. Leon C.Stone President Preparer of the Sala Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton,IN 47670 (812)386-1687 City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) • . Kaley M Hauger n/k/a Kaley M Stafford Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 509 W Monroe St Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and mplete as re Ired b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ° �n l 9 atu o Sella f � L.V�n Signature of Seller Kaley M Hauger n/k/a Kaley M Stafford 0°`I ad /7 Printed Name of Seller Sian Date(MM/DD/YVYY) Printed Name ofSeller qn te(MM/aa/MY) F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL 141,ATiFY !' 'e•in. L.Miller Ry.., - •me as appears on conveyance document Buyer 2-Name as appears on conveyance BCrREgen8 201/ 107 S Spring St. , Apt 5D D U L Address(Number and Street) Address(Number and Street) 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 NDITlON r 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary © 4.Solar Energy Heating/Cooling System residence,including county: 509 West Monroe Street ❑ n 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 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 ❑ (71 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.P ease siP ••• . ••• • ormation. Not available in all counties.) Address(Number and Street) A b - /A - 0 7 - 30,3 - o0 3• to I _ t)-. City,State ZIP Cade County 1 • . .. . . .... E-mail I