Homestead_Hughes . _ .. •.-.:
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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Britany N Barnes Agent ,
Preparer al 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.hvcbc.com
City.State.and ZIP Code Telephone Number . E-mail
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;MELLER(SVGRANTOR(S) .:•-•!'.- .,:r... ...C,'. _ •§c-, : f:';:.lc:W.-.N.I'mCW:..'-',%::.:::::U:!-I,I)::::: -/::,a :.- .zz.-1 .--3-1 .,;: 1-”: ,-1.rt77,-,41*.s,;:',:
Donna J Sales Jimmy 0 Sales
Seller?.Name or atmears on conveyance document Seller2.Nome or appears on eon nyonce document
205 Charlie Ct 205 Charlie Ct .
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 c iplete as required by I w,and is prepared in accordance wit C 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signor jet Of Seller 1 56% 1.6
ir A'I-I)12 ' • _
&nature en?.SA-.0L4
Donna J Sales Jimmy 0 Sales
Punted Name of Seller Sian Dart(10.1/00/1111 Printed Name a/Seller . Sian Date Imo/OD/Yrst -
-F5-BUYER(S)/GRANTEE(S) APPLICATION.F.ORPRUPERTUAX•DEDUCTIONSgIDENTIEVAWITEMS, Fr' ..1:!LWIte 1175,N71-
David M Hughes Stephanie L. Hughes
Bayer I-Nome as appears on conveyance document Buyer2-Name as appears on conveyance(Moor= .
96 E Candi CI Lot 6 96 E Caniff Ct Lot 6
Address(Number and Surer) Address(Number and Street)
4'.1 "-- Si
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Princeton, IN 47670 Princeton, IN 47670 _
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR Tills PROPERTY. IDENTIFY ALL OF THOSE THAT-Ph,.9,/ -
YES NO CONDITION YES NO CONDITION /Oat
Ea 0 1.Will this property be the buyer's primary . a 0 3.Homestead Op
residence? Provide complete address of primary 0 IN 4.Solar Energy Heating/Cooling System
residence,including county:
0 2 S.Wind Power Device
110 N Third Ave .
Address(Numbeptnd Street) 0 E 6.Hydroelectric Power Device
Oakland CI ,IN 47660
D al 7.Geothermal Energy Heating/Cooling Device
City.State Code County
0 2.Does the buyer have a homestead in Indiana to be 0 2 B.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 LI 9.Would you like to receive tax statements for this
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complete address of residence being vacated, property via e-mail?(Provide contact information
' including county: below.Please see instructions for more information.
Not ovailahp#i all counties.)
Address(Number and Street)
• dó-/5-/s- oaf- 6700.3-4/1- ay
City,State ZIP Code County
Primary Pronto-1y tamer contact name _ . &moil
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