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1 INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
.D:PREPARER. t . -avl „P -Nt v"PE7r s ~_--* 7- �� .1 i '"'''c '
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 SELLER(SVGRANTOR(S)--'-y L: 4_-_ °: , 4.-- TTic 1,.::'- a i is''-.tat' �r>vS .�4. _�L -_ l-si , ,,,Ty -4r' ,;'.
The Virginia A Rogers Revocable Trust
Seller l-Name as appears on conveyance document Seller 2-Name as appeal a, docu.
1912 Taylor Avenue
Address(Number and Street) Address(Number and Stre
Princeton IN 47670 rs{1{ 2 6 7019
City,State.and ZIPCode City,State.and ZIP Code I'�V"
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I hereby certify that this Sales Disclosure,to the best of my kn arrti
bttrue,correct
and co ete as required by law,,,aa{nnd is prepared in accordance with IC 6-1.1-5.5,"R11 perry Sales Disclosure Act".
St o/5e 11-4171 hit / - Signature of Seller
-I'9 /7
Virgi A Rogers
Printed Name of Seller Sian Dote(M.M/DO/Yin, Printed Name of Seller Sian Date(MM/DD/YYY1)
'.F.BILIER(S1( RSNTEE(S _APPLICATION'FORPRORERTYTAXDED/UGTIONS Ti 'ar(=iTFnncTHgT IIDFNAPPLX_' -
Brian rry (Patty S Terry
Buyer 1-
'Name as appears on conveyance document `/ Buyer 2-Name as appears on conveyance document
1027 S. Stormont Street 1027 S Stormont S
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code
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Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I Y
Q ❑ 1.Will this property be the buyer's primary IZI ❑ 3. Homestead
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
1912 Taylor Avenue
Address(Number and Street) ❑ 171 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Cade County
El2.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 ❑ j71 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.
1027 S. Stormont Street Not available in all counties.)
Address(Number and Street)Princeton, IN 47670 Gibson 2.t-/1 _ IDg- 9 r.3-0o2- L191.' b..�c�p
City,State ZIP Cade County
P a7 mpropenyowner contact name ail