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Homestead_Witt (4)
`w twALES DISCLOSURE FORM SDF ID: Page 2 :1iRERa7 ' (a�.h. .,�� ",:'ir„('�YS�S 9aSi^'`+ "t ' ry�'7-OR.� i t-'a t., IC. Stone President g s �j -� ' vlarer of the Sales Disclosure Form Title • 26 West Broadway Street Broadway Title, Inc. OCT 1 - 2018 Address(Number and Street) Company Princeton. IN 47670 (812)386-1687 bti(a)mw.tw .com/ City,State,and ZIP Code Telephone Number E-mail iE4SELL R(S)`/.CRANTOR(S)# ""°''�_. y: ,4:�:' GIHSON COUNTY AI If)ITC1R Jeffrey R Thomas Suzanne G Thomas Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 543-er•Lsei-S•ea i 10 40 WI-hot-cue Olt 1753 Outer I ake Road • Address(Number and Street) Address(Number and Street) Princeton IN 47670 and complete as rerriired,b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Prope Sale isclosure Act". 2 S/ �J _ fSe/Ic , °rut na r (Set Signa re o(Selle .1--ffrey R Thomas 9 K ) ' Suzanne G Thomas q 'at 1 F Printed Name o(Seller - Sian ate(H.N/DD/YYYY) Printed Name of Seller • Sign Date ISLWIDD"-.-/YYYI) FBUYER(S)/GRAN;TEE(S);±AP.PLIGATIQN,FOR•P�aoPERT1YkTAXfI)EDUGTIONS�IDEtJ;TIFaYjdLLdTEM'SiTH9Tr>AP,PL`Y ,- =y?' ' Alann M.Witt Brenda F.Witt Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 528 S.Concord Drive .. 528 S. Concord Drive Address(Number and Street) Address(Number and Street) Princeton, IN 47670 I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary [ ❑ 3.Homestead residence? Provide complete address of primary residence,including county: ❑ © 4.Solar Energy Heating/Cooling System 1753 Outer Lake Road 0 ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson City,State ZIP Code Coun ❑ 0 7.Geothermal Energy Heating/Cooling Device ry Z ❑ 2.Does the buyer have a homestead in Indiana to be 0 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. 528 S Concord Drive Not available in all counties.) Address(Number and Street) Princeton, IN 47670 Gibson - City,State ZIP Code County _ Primary property owner contact name