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Homestead_Krieg (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 DTPREPARER -- —7--- _ _ — — IT Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 bti@mw.twcbc.com City,State,and ZIP Code Telephone Number Email E.:SEL'f ER(S)%GRANTOR(S); =_—.- ---- _ -- v. Fstate of Ha 7e1 McClure by Sandra Parker Personal Representative Fstate of Ha7eI McClure by I eon C Stone Personal Representative Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 1602 Glenwood Drive 222 West Broadway Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co� as requir by law,and is prepared in accordance with 1 6-1.1-5.5,"R I roperty Sales Disclosure Act". ignature of Seller /�'J A 7 ignature of Seller — / �J Sandra Parker IF A —/ 7 Leon C Stone N — 6 / Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date(MM/DD/YYYn F.IBUYER(SWGRANTEE(S)JAP.P.L'ICATIONIFORIPROP.ERTY TAXIDEDUCTIONS,ODENTIFYTALL''ITEMS THAT/AP,RLYL __- _- _ _ d Tracy J. Krieg 77 Buyer l'Name as appears an conveyance document Buyer 2-Name as appears on conveyance d'Ini ] Lit pp 2110 Ashton Court#26 Address(Number and Street) Address(Number and Street) Princeton, IN THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS 'APPINOUN fYAUDITOR YES NO CONDITION YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary ( LI 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 2469 S 650E 5.Wind Power Device Address(Number and Street) ❑ 2 6. Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ 2 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El 17) 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 lavailable iiin�y all counties.) ln� //���/ Address(Number and Street) I—CW••' , �l — {9— (Vl — oi- ! � --Devi City,State ZIP Code County - - Primary