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Homestead_Reneer (10)
INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2 RkilP,REFIARERTY. 'p 7n-t tom: : '- =, 7,-- 7-tS: —T --- Y. T Leon C. Stone President Preparer of the Sales Disclosure Form Tide 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 btiemw.twcbc.com City,State and ZIP Code Telephone Number E-mail (krSELLER(S)'/.GRAN,TOR(S)ir,' 777 - - :' cr. .Iki 77 -T7 r7 .S Flimbeth Kays by Power of Attorney Donald G Kays Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1892 N State Road 65 Address(Number and Street) Address(Number and Street) Princeton IN 47670 Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co lete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .e. Signature of Seller Signature of Seller flnnald G Kays 97/8/2,0fe Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DO/YYYI) E-mad 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 171 ❑ 1.Will this property be the buyer's primary IZ1 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1323 S Darwin Avenue ❑ 2S.Wind Power Device Address(Number and Street) D IA 6.Hydroelectric Power Device Princeton, IN 47670 Gibson D Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) D'' ^^ II (M'�� D City,State ZIP Code County Primary propertyawner contact name E-mail