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Homestead_Betleyoun
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. PREPARER r Brvceann Cutsincier Preparer of the Sales Disclosure Form Tide 226 W. Broadway St. 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) , ' Finer(Glenn) Bugher Seller I-Name as appears on conveyance document Seller 2-Name os appears on conveyance document 4858 N 200 W 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 complete as required 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 FInor(Glenn)Rngher //-‘2 0 17 Printed Name of Seller Sian Date(AIM/DO/MO Printed Name of Seller Sian Date(MM/DD/YYY11 F.-BUYER(S)/GRANTEE(S)_=APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL.ITEMS THAT'AP ' i _ Julia C. � Buyer I-Name as appears an conveyance document Buyer 2-Name os appearson conveyance document 1897 Address s((Number Street)Circle 4 Address(Number and Street) Address(Number and Street) Uj� � Francisco, IN 47649 ` VV'' \ YES NO CONDITION YES NO CONDITION /Tf..)k 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ lig 720E Christian St 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 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 ❑ 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) ad—/07—M0 o / /—O City,State ZIP Code County Primary property owner contact name E-mail