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Homestead_Mills
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 (812)386-1687 btiemw.twcbc.com City,State,and ZIP Code Telephone Number E-mail IE:;SELL'ER(S /.GRANTOR(S);_ 7 ---TT j Timothy Wayne Wallace Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 415 W Walnut Street 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". 1 Signature of Seller / ))) Signature of Seller limo Wayne Wallace 1Q73/fadik Printed Name ofSeller Sion Date(i d/DD Printed Name of Seller Sian Date(MM/DD/YYYf IF-B.DYER(S)/GRAWT;EE(S)i APPLICATIONtEOR;RROP.ERT .TAX{DEDUCTIONS=IOENingKAI LTTEMStTHAT,AP,$L'}° 7,1 Shannon G. Mills Buyer I-Nome as appears on conveyance document Buyer 2-Name as appears on conveyance document 415 W Walnut Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEqNNT�,II,,FYALL QF THOSE THAT P Y. YES NO CONDITION YES NO L'6� s "., ' n^ v'�j4: Q ❑ 1.Will this property be the buyer's primary ❑ 3. II omestt'adrNry �• residence? Provide complete address of primary ❑ © 4.Solar Energy Heat/tit/F.84ing System residence,including county: hh 415 W Walnut Street ❑ ig 5.Wind Power Device Address(Number and Street) ❑ 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ El 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) City, ZIP County c,'ia -07- /03 • ob g o ag ry,