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Homestead_Paris
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 iiDs`PREPARER� .tea. .., - _ - -- --- _ - _ Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 East Broadway Street Broadway Title. Inc. Address(Number and Street) Company Princeton. IN 47670 (812)386-1687 bti @mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail [E:SELCER(S)/G eMOK(S _T ,r y±-1:i77.1:117717 - — . Annie Bell Paris Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1409 F Mary Lee Drive Address(Number and Street) Address(Number and Street) Princeton IN 47670 i I _Telephone Number E-moil et-s n Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledgtfand el'ec i1 s true,c. +ct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure A % C M/Ne (5-SA a/wa, . 9a, •,,,.. Signature of Seller 3 Signature of Seller GIBSON COUNTY AUDITOR Annie Bell Pans Printed Name of Seller Sian Date(HM/DD/YYYY) Printed Name of Seller Sian Date(101/D13/1-YY1) I.F:i,BUY.ER(S)/GRAN,TEE(S)EAPP.1H-G TIONtFOR,PROP,ERT(YLTAX(DEDUETI0-1 1 )ENITIFY(AliLiTEMS�THATyAP,P,L'Y, Andrea L. Paris Buyer I-Name as appears on conveyance document Buyer 1-Name as appears on conveyance document 916 Short Street Address(Number and Street) Address(Number and Street) Princeton. IN 47670 Telephone Number E-mail • THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I 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 residence,including county: ❑ 5.Wind Power Device 1409 E Mary I ee Drive Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton. IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 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 ❑ 2 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) r,-y[�City State ZIP lode County Primary -OS _ I�� 0O 020 -o�� Primary property owner contact name E-mail License/ID/Other Number - Number License/ID/Other Number