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Homestead_Williams (44)
INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2 • tP,REP,ARERd . r y_, . _°" r, :> Leon C. Stone President Preparer of the Sales Disclosure Form Title I 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 bti(a�mw.twrbc.com City,State,and ZIPCode Telephone Number t E-mail s rlE$SELLER( TACFAN1Ti0R(S)l . `- "ta --•` `. . :'' --‘"-- -tea —\ , i Ronald I Harvey by Ryan Hooker POA Dawn Schlageter by Ryan Honker POA Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 410 Oak Park Drive P O Box 22 1 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". /� �pne tal[.�asve� (z QC, % &4cc ��/� Dot, Scl r�✓y� h 15fSlD•E — 1 Signature of Seller t� O Signature of Seller f/ 00 • Ronald L Harvey by Ryan Hooker POA /2- •Lo-/ 7 Dawn Schlageter.by Ryan Hooker POA /Z-2017 Printed Name of Seller Sion Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYYI SFIBU,YIER(S)'/GRAN1TiEE(S ''AA@ EIGATIDNjFOREPROP.ERTpYgTAX4D.EDDUGIIION5°-WIDEN RIFe1'(AEOREMSpTHATtIA'P,PLW/ ° ?4 : �_t Michael Williams i Buyer 1-Name s appear s an conveyance document Buyer as appears on conveyance document 828 South Hall and Address a Address(Number and Street) Address(Number and Street) • . THE SALES DISC LOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY T L OF THOSE THAT APPLStr0, . YES El 1.Will this property be the buyer's primary 0 ❑ 3.Homestead �UOjT • residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System O residence, including county: GG 878 South Hall Street ❑ 0 5.Wind Power Device tAJ Address(Number and Street) ❑ Q 6. Hydroelectric Power Device '•. Princeton, IN 47670 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 ❑ 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) .Z 1/17/6e-/0/-007 /D i12 City,State ZIP Code County Primary property owner contact name E-mail