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Homestead_Dellinger
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 "------77;j7----- D�P,REPARERT'- -7777-77-7-7-1- - ---- -_ -°-. -f--- Robert Meeks Broker Preparer of the Sales Disclosure Form ode 1022 E Broadway St Meeks Realty Address(Number and Street) Company Princeton IN 47670 812-386-6777 City,State,and ZIP Code Telephone Number E-mail LE?iSEELER(SIGRANiTQR(S))• '• ' - t ' — •` ' .. '., •INDYRE LLC Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 17962 Foxborough Lane Address(Number and Street) Address(Number and Street) • Under penalties of perjury,l hereby certify that thisSalesDisclosure,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 o�� Signature ofSeller C Plt.rbp c CJ?TAr 1 III -17 Printed Name Seller Si-n Date(MM .Dysa Printed Name Seller Si.n Date SWOP jaw 1F BUxER(SI GY NiTEE(Sj AR8 LIBATION)FORT$RQPERWX6FAX4DE__DUCTIONS1=2I DEN,TIF•Y(AEL4ITESSITHAVABRIPr` - Waylon-Dellinger I • Dusty Pugh Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance dom ni � 121 E Clark St 121 E Clark St (��1 � FD 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. IDENTIFY ALL OF THOSE THAT A17 Pt1W'r • YES AO CONDITION YES NO CONDITION GIBSON COUNTY AUDITOR Eg ❑ 1.Will this property be the buyer's primary E2 ❑ 3.Homestead residence? Provide complete address of primary ❑ 12 4.Solar Energy Heating/Cooling System residence,including county: 121 E Clark St ❑ (2 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton IN 47670 Gibson ay sm ezlreode codnty ❑ 12,• 7.Geothermal Energy Heating/Cooling Device p 2.Does the buyer have a homestead in Indiana to be ❑ © R.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 12 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) 6 — ,a _D ^ _ 3 l_ -096R. I 7S7-0,29 Ciry,State ZIP Code County ,l/ l(/) Primary property owner contact name E-mail