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Homestead_Bradley (2)
INDIANA SALES DISCLOSURE FORM SDF ID:__- _ Page 2 [D:FREFARER - 7 1 Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title. Inc. i Address(Number and Street) Company Princeton. In 47670 812-386-1687 Patti broadway-title.com City,State,and ZIP lode Telephone Number E-mail rE lItER(S)'/GRANTLORR((S)} -- , - . ' t : -----_j David L Fithian Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8055 S 600 W Address(Number and Street) Address(Number and Street) Clwensville IN 47666 I I E-mail Telephone Number E-mail Under penalties 1 fperjury,a-hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and co lele s� aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature er 1 __ Signature of Seller David L a /9/ / Printed Name of Seller Sin DatE(MM/DD/YYn) Printed Name or Seller Sian Date IHM/DD/Yml . [F B-O,YER(SVGRAMiEE(S)}av P ICATIONWORLPROP.ERTtYrTAX4DEDUCTIONS dDENTIF 1111ITtEMS_THAW,tYtr----- ., .1 Nick Bradley i le . adl Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on con • ce 602 W Emerson St. 602 W Emerson St '9 Address(Number and Street) Address(Number and Street) V\n0 Princeton, IN 47670 Princeton, IN 47670 HP City.State,and ZIP Code City State,and ZIP Code Dy1 OK `�GpJ E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE APPLY. YES NO CONDITION YES NO CONDITION ❑ 1.Will-this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 602 W Emerson St 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Princeton, IN 47670 Gibson 0 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2. Does the buyer have a homestead in Indiana to be El ❑✓ 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 allefounties.) Address(Number and Street) 0 ale— 1r —0H k 0-?-,- I V Q City,State ZIP Code County — o-0a� Primary property owner contact name n 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: