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Homestead_Williams (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Dr,PREPARER. - --).- --- 7- — --- -- -- -- _s7 — -------; .. r: Patti Kolb _ Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 oatti.bti(ahmw.twcbc.com City,State,and ZIP Code Telephone Number E-mail I E$E6L'ER(S)/GRAW014 L..- :- -- -- -. E -- - - - --- - - James B Beckman Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8171 E 300 S Address(Number and Street) Address(Number and Street) Under penalties of perjury, I ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an. ompletep red aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 1/� "N.9 Mr Signature of Seller Printed Name of Seller Sian'ate(I M/OD/rvn) Printed Name of Seller Sion Date(xw/aD/vrv77 _F.:,BUYER(S)`/GRANTEEMI _AP,PLICATIONTOR1PROPEMTM DEDUCTIONS='IDENTIFY-ALL ITEMS;THATrAP,P.L'Y _ Tyler A Williams Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 10975 E Lincoln Heights Rd FILED Address(Number and Street) Address(Number and Street) g TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH.tt APP} .¢{-'�f( YES NO CONDITION I YES NO CONDITION 618S01U COUNTY AUDITOR❑ 1.Will this property be the buyer's primary [Z) ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 817) E 300 S ❑ 0 5.Wind Power Device Address(Numbe r and Street) ❑ 0 6.Hydroelectric Power Device Oakland City,IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 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 ❑ IA 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) Ciry,State ZIP Code Q . - 13-3 0-400- ooa 65a-004- County Primary property owner contact name E-mail