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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Leon C. Stone President Preparer of the Sales Disclosure form Tide 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (8121386-1687 City,State,and ZIP Code Telephone Number E-mail IL',SELLER(S)%GRA'NTOR(S)r......' _a er = .. -,:;.4-''.'' _ '_ j Carl Abell Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document R13 West School Street Address(Number and Street) Address(Number and Street) Francisco IN 47649 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 r qu d 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 f'adAbell 7 -e,- 2617 Printed Name afSeller Sign Date(MM(OD/YYYY) Printed Name of Seller Sian Date(M.M/DD/YYYf :F.13IIYER(S)/GRANTEE(S) AP.P,LICATION;FOR;PROPERT(YLTAX4DED.UGTIONSIOENTIF,YEALC.ITEMSTHATi'AP,PCY0 - __J Jacob B. Danes Kimberly A. Dages Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 809 West School Street 809 West School Street Address(Number and Street) Address(Number and Street) T����\ Francisco, IN 47649 Francisco, IN 47649 FILED 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 NO CONDITION ' Ari 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead GIBSON COUNTY AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 809 West School Street III S.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ 171 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 ❑ 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 for more information. Not available in all counties.) Address(Number and Street) QL - /3_' ^,_a® 1 ,D(��co•/^b- /� City,State ZIP Code County U� l{./ylN( Primary property owner contact name E-mail