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Homestead_Harper (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID..P,REPe1RER jz?a2 .711 ;. sa . t te,y . � - ;c '2k- ____ 3a -z-_. -....f.� ---_ a :lid 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 -•a "5'.s rtR�'t=s-'-rcrs f:.. - . 7+i Ti r?' .t�r 1774 ,P -71.-nor` 7m-_- Srnt".,.F+ srn.•-a^.7. E.SELL'ER[S)/.GRANTOR(S] �: '"�` - � __ s- �. .:__..... �. ---. �.« ` . , .` Shirley D Fritz Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance dacumerryf"0 308 W Makemson Avenue tet�jjBJ Address(Number and Street) Address(Number and Street) Princeton IN 47670 E-mail Telephone Number -r E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knows;) 'ef,ik true,correct and coin lete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro gs4:43HZ1sTciVAct". cGIBS Signature of Seller Signature of Seller Shirley D f�Fritz J" 7' /7 Printed Name of Seller Sion Date(M.N/DO/rvrr) Printed Name of Seller Sian Date(MM/DD/rnT) .Bt11EA SAPP.IICATION,F,ORPROPERTYTAX-DEDUCTIONS=IDENTIFI'ALLITEMS_THAT_APPfY __ __ (\/ rag h n Har er ,.ppeurs on conveyance document Buyer 2-Name as appears on conveyance document 220 N Arrowhead Road Address(Number and Street) Address(Number and Street) Petersburg. IN 47567 City State.and ZIP Code City.State,and ZIP Code ( 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 Y NO CONDITIO, Z ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ill © 4. o ar nergy Heating/Cooling System residence,including county: 308 W Makemson Avenue ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County SZ Li 2.Does the buyer have a homestead in Indiana to be ❑ IZ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 17 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information below. Please see instructionsfor more information. in�l,,undinAacoun f �p b 14)M- Not available rubieg A tire. (A'umher and tree[) � � ��►2S�u�e(! �1 `{ iski ��I�l�/� 12-- I�' I03 '003 Dz8 City.State ZIP Code ount,' License/ID/Other Number