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Homestead_Minnis (12) `INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID7PREFARERTr,1 - - r7-77.(17: . -h e':{7......; _,.".At i- ,,r r—', n °r 2a1Z1: --_-r-_• Britany Barnes Agent Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com City State,and ZIP Code Telephone Number E-mail <E?SELLER(S)%GRANTOR(S), . • . . . - . _.. - James T. Krieg Tonya L.Krieg Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 115 E Illinois St 115 E Illinois St Address(Number and Street) Address(Number and Street) Princeton, IN Princeton, IN Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an omplete as rred by Irv,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". gnature of Seller • Si nature ofS.0r , :tAhs r /V'( efl /-3a -/B' tomb L . ECrie5 I-3D . Printed Name of Se Seller Sign Date(MM/OO/YYYY) Printed ha a of Seller Sign Date(.N.N/DD/YYYY) -F:BUYER(S)%GRANTEE(S)-APPLICATION.FORPRO1?ERTY.TAXDEDUCTIONS:IDENTIEY,ALL,ITEMSTHAT,APPLY?_•f- _ - Keenan L.Mi ais B u5ert-Name as s appears on conveyance document Buyer 2 Name as appears on conveyance don n 115 8th 51 LED Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSSIB'Yr r,PI.6OU N-1 Y Al I D i TOR YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Es ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 115 E Illinois St ❑ tg S.Wind Power Device Address(Number and Street) ❑ 13 6.Hydroelectric Power Device Princeton, IN 47670 City State ZIP County ❑ 13 7.Geothermal Energy Heating/Cooling Device I D 13 8. Is this property a residential rental property? t 0 ❑ 2.Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ 13 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information 1 including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) x�//1�11 —tI//�•-���/,, 1` Q^� Ciry,State ZIP Code f9- 1a — VS -1o " -tv 1-344-Dag County Primary