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Homestead_Speedy INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. PREPARER Bryceann Cutsinuer Prepurer of the Sales Disclosure Form Title 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 btiemw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Blake H West Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3ee -6th-*ve fie,S %J wk., A,L Address(Number and Street) Address(Number and Street) Rtiaeetan—f'IF 47B?CI fi-.n5vill _LA 4i1I5- Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and con lete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 2%cSeller fl nR/�f Zol 1 Signature of Seller Signature of Seller Blake H West Printed Name of Seller Sian Date I.N.M/DD/YYYl) Printed Name of Seller Sian Date(MM/DD/YYYYI F. BUYERS)/GRANTEE(S)=APPLICATION FOR PROPERTY TAX DEDUCTIONS= IDENTIFY-ALL ITEMS THAT APPLY. _ - Kyle Speedy Buyer I-Name as ap rs n cam• nc durum• t Buyer 2-Name as appears an ca n do meet l 3o6 ry � . �4 Address r '•mber and 5 / Address(Number and Street) ft THE SALES DISCLOSURE.FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALIGISSIO VEIL4.' Ali AUDITOR YES NO CONDITION TES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary E ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ Ed 306 N 6th Ave S.Wind Power Device Address(Number and Street) ❑ WI 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 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) va S' City,State ZIP Code County 2 to_//- / °Q /n7 an/ it `S Primary property owner contact name E-mail