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Homestead_Hope (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 -IIJ:.PREPAREI - _ ._ ',fti3 _'._-:Tc...1._ _ Si;Jc- l'_t*i:2--_L e _.J tisl_i'., _li lii.rCci e +.._._iT9iti.a._,i.. _. 3 Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title. Inc. Address(Number and Street) Company Princeton. IN 47670 ( E-mail E-------ER(S)%GRANT.-- ---. ltic--r S :� n`Y'.. -•..-._ bi 1.•.SS!_yi J<_..! J t .', (�.--v�.5_1'.e 1'L. 3T1.a''.. Jeffrey E Thomoson Seller l-Name as appears on conveyance document Seller 2 Name as a ars on conveyance document 4717 N 775 E At�UG vz 9 - 2019 Address(Number and Street) Address(Number and Street)'1 Francisco IN 47649 E-mail Telephone Number GRSON 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 a equired by la nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / r Signori, :0Ey JA� Signature of Seller Jeffrey E Ili; rf �5-y Printed Name of Seller Sign Date( H/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYYQ__ . ... U `-.APPLIGATIONiFORPROPERTY TAX DEDUCTIONSIDENTIFY-AIL.ITEMS_THAT:AAPL`Y j- _ __ - ' - TristanL. Hope B BuyererI]-Name as ap rso acumen! Buyer 2-Name as appears on conveyance document 71 /4 E 500 N Address(,Number and Street) - Address(Number and Street) Patoka , IN 47666 E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary Q 0 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence, including county: 4737 N 775E D 0S.Wind Power Device Address(Number and Street) 0 IA 6.Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ 2 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 IA 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 in e in ormation. aval able in all counties) Address(Number and Street) / /� 9 �� {'r�-� Qp Ciry,State ZlPCode 269. OCP _ 1(p— 2 ^/lin• 1206 --D/ 7 County ` r7mary propertv> ttaame all Number License/ID/Other Number