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Homestead_King (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 aD:,PREPARER �"�`-d?-' ate.` eat :..;,. �J.v . . :''`%-i.. }.-. a.,r .477V'--fli°a> ry"`._}ms s Sherri S Hudson Closing Manager Preparer of the Sales Disclosure Form Title 501 Main Street. Suite 101 Bosse Title Company Address(Number and Street) Company Evansville,IN 47708 812-421-4000 closing.depte!effbosse.com City,State and ZIP Code Telephone Number E-mail ufi':',SEL-LER(Sl%GRANTOR(S) 7 _C -y,-Q.- - € .t.:= ` r -- ,t�..'.'Y :-T < ., ' 1. " r(17--'3,;--.: Timothy R Short Andrea L Short Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 9265 C. 35O S. L/6205 c. 35o a, Address(Number and Street) 'iqdiess(Nunib rand Street) B2/nletroA, 7---_.J ' P/170 Ylinc )n . TN 1-11(070 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and compl-te as re s-.ired by 1- and is prepared in accordance wi IC 6-1.1-5.5,"' :al Pro(erty Sales Disclosure Act". :a � .awre � Slgnbtureo/Seller . .gore Seller e�l Timothy R Short 0//07/./a/7 Andrea L.Short 08107!g Printed Name of Seller Sign Date(MM/DD/YYYI) Printed Name of Seller SlpaDate(MH/DD/rmYY) Fi;BUXER(S)%G RAMIE B(S)eA819EIGATI0WOR P,ROPER WX!DEDUCTIONSEIDENTIFY AL VE01 S„-TH'ATMEPbi , ” .aw a=`,;'fit Matthew S.Ki I(1_, Kasie N.King Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1102 S Stormont St 1102 S.Stormont St Address(Number and Street) Address(Number and Street) Princeton,IN 47670 Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE Tr A ♦ LT YES NO CONDITION YES NO CONDITION in 1.Will this roe be the buyer's primary Y it ❑ property rty y p ry � ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heatin*tqolir$5L}+�stem residence,including county: ❑ I2 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Pow``efi+eevice ' ❑ 0 7.Geothermaainer yip r' a Device City State ZIP Code County ., CCU I fY Al tu!TOR ❑ 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 �'1^I I cludingcounty: below.Please see instructions for more information. )13 OWN >-wr}-t Not available in all counties.) Address(Number and Street) Ii.iar,au►tI , ,Tn cm'1 Ilolydatbrr 8,- Ja-l8-09 D1 - odl - a(oo-oa8 City,State ZIP Code County Pnma,y property owner contact name E-mail