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INDIANA SALES DISCLOSURE FORM SDF ID: 26 - 18 - 1123730 Page 2>b�FREPARER_
Leah Shattuck Closing Processor
Preparer of the Sales Disclosure Form Title
498 Ohio Street Hendrich Title Company
Address(Number and Street) Company
Terre haute, IN 47807 812-234-9475 shattuckl@hendrichtitle.com
City;State,and ZIP Code Telephone Number
E-mail
ri EaSELLER(53/GRANTOR(S)i•_ _ a . 4..- _ — _t .d.-�_ . ,. -- •• - 7 -...1 ; _• ,__` _ __:_ z; _s .-j
Alaina Munro
Seller l-Name as appears on conveyance document Seller 2-Name as a ears on conve
yance e}•ance document
929 75th St. Ocean West
Address(Number and Street) Address(Number and Street)
Marathon, FL 33050
E-mail 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 completeas required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Qttn je fj _n
r, 2ro
'Signature ofSellei I Signature of Seller
Alaina Munro ID.'t1�'C-n9O1-Q .
Printed Name of Seller n Date(MAI'DO/}TY!) Printed Name of5eller Sign Date(MM/OD/11Y1)
'-F. BU,YER(S)%GRANT@E(S)'TAPP--UICATION EOR:PROPERT:Y.:TAX'DEDUCTIONS°IDENTIEY.ALL;ITEMS. AT APPLY i :-„-} .1
Wonga M. Hornback Debra M. Hornback :� / r t
Buyer l-Nameasappears on conveyance document Buyer 2-Name as appears on conveyance del endi r I)
211 211 E. Monroe St. 211 E. Monroe St. i
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670 J'iN 0
�7Vr �— E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT jy
YES NO CONDITION YES NO CONDITION AUK/tote
✓❑ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3. Homestead
residence? Provide complete address of primary ❑ ❑y 4.Solar Energy Heating/Cooling System
residence,including county:
211 E. Monroe St. ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6. Hydroelectric Power Device
Princeton, IN 47670 26 ❑ ID 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 22. Does the buyer have a homestead in Indiana to be 0 ID 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑✓ 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) - /c -6 7- /L� j /Ind• 6/] 1d-
i '7l/J (�ti 7 Oi
0:,
onga M. ornback
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number