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Homestead_Groves (2) • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 515RELERARER ...-.7.-e•-• -g •. -..r""'•._'7ar»..`sF•;il e --i: " .,i`'- ;,,-�>.f,. .�7-,; . . . ea..Yt. ?. . - \---.:-..2- 7 THOMAS L. MONTGOMERY GENERAL MANAGER Preparer of the Sales Disclosure Form M nde • 101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE, LLC Address(Number and Street) Company EVANSVILLE.INDIANA 47715 812-402-6555 closinos(Etruetitlein.com City,State,and ZIP Code Telephone Number Email laSELLER(5J%GR'A,NITIOR(Sl ; - , r SFMERSHEIM RVOCARI F TRUST date January 15 1993 Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 302 S STOUT STREET Address(Number and Street) Address(Number and Street) PRINCFTON INDIANA 47570 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and compl'teas re'•ire s by law,and is pr •ared in accordance wit IC 6-1.1-5.5, Real Property Sales Disclosure Act". 4_.... /a A / IJA' A� ' erg/ ACM'affi'_ A r1 � Signature o/$e/i„RmEltsH�.IM / Signature of Seller FSTHFR I Name !Seller FE 1¢y PTA WAIS y t 19/ e tAtO /2017 12/ /2017 Printed A'ame a(Se F A c X1124 (swO/2 Printed Name o(Seller Aan Date(HN/DD/201) [F$BUYEFC G-•eAP,P�• ,L�IGTr1T1QN'(F ItiRROP:ERTeYOM-WED,UCTIQNS IDENITIFeYeALL-Fi1ifaiTHAT AP,t<LY . EARL G. GROVES PEARL E. GROVES Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document ' 302 S. STOUT STREET, 302 S. STOUT STREET, •P Address(Number and Street) Address(Number and Street) PRINCETON, INDIANA 47670 PRINCETON, INDIANA 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System 5 Q residence,including county: �v 302 S STOUT STREET ❑ 19 5.Wind Power Device j Address(Number and Street) ❑ (Z) 6.Hydroelectric Power Device PRINCETON. INDIANA 47670 GIBSON ❑ 7.Geothermal Energy Heating/Cooling Device Ci ,State ZIP Code County MIID 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 i c d'ngcoun below.Please see instructions for more information. �� ��� C}, Not available in all counties.)/ Address(Number and SPtreet)_ v GPI ((�) z4— ja —07— 7o a au/ 7 6e o IIJ0 I fl(`' v� ' I �� EARL G.&PEARL E.GROVES co,State ZIP Code County Primary property owner contact name E-mail