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Homestead_Weigle INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 'DAP.REPARER :.___` ____.�-_ - .:.• - ' ___ - --i Ariana N.Tanoos Attorney Preparer of the Soles Disclosure Form Tide 20 NW First St. Ziemer, Stavman,Weitzel&Shoulders, LLP Address(Number and Street) Company Evansville, IN 47706 812-424-7575 atanoos(o)zsws.com City,State,and ZIP Code Telephone Number E-mail E SE[1iE (S)%GRANTOR(S) ' ' - — -- = . Henry I Weigle I grey N Weigle Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 217 Makemson Ave 217 Makemson Ave Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and// complete /�,ass�required law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Si .ature�Seller J yn �/� Signora of of Seller I /nn my L Weigle /`/2 �f I acev N Weigle /2 2,/2D/ Printed Name of Seller Sian Date(MH/DD/YYYY) Printed Name of Seller T • te(N..44/DD/YYYY) .1F.BUYER(S)%GRANTEE(S),-.�APPBIICATIONJFOR'PROPERTYTAX(DEDUC-TIONS IDENTIEYIACL111S •H.M� A K1• __ —E) Anna B.Weigle Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 237 S.Hart Street DEC 2 8 2018 Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Ciry,Statg and ZIP Code City,State,and ZIP Code r Telephone Number Email 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 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cool' tem residence,including county: r • 37 S Hart Street ❑ 05.Wind Power Device • Address(Number and Street) ❑ Q 6.Hydroelectric Power evice Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State Zl Code County ❑ 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) 67(0_ 12-b'1-30 a- tea. 31)-Oa S> City,Stare ZIP Code County Primary property owner contact name 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note: Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security License/ID/Other Number Number License/ID/Other Number