Homestead_Walker (19) . .
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IIMIRMOMPtiaiiinefittiggintanietiMilMaggadinMal,MIN NOMONARMISIkada
Tiffany Hoon Closer
Preparer of the Sales Disclosure Form Title
7820 Bugle Crest Blvd Ste 201 Reginal Title Services
4ddres9(Number and Slree0
Mettedighigitirna ti SWAM IRMOYASteRMONSO,Mat inittnagan in i Wan*Maga
Jeffery Stevens .
Seller 1•&moos appears on conVeyenta document Seller I•Name as appears on conveyance document
234 W.Makemson Ave.
Address(Number and Street) Address(Numberand Street)
Princeton,IN 47670 .
Telephone Number Haag Wertheim Number e•mall
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
r)complete as re•u red by law,and is prepared in accordance with IC 6.1.1.5.5,"Real Property Sales Disclosure Act".
f I tvir ‘, i Ae 4
In I re!!I es Ill'
n Jef Signature Vetter
fery Stevens Oiiit/M .
Printed Name°goiter Sign Date IN/De/MT) Printed Name of Seller Sinn Data ptif/tva/vM)
.1-14111t6A lit gY'ha :.Ifilt000".t.:1:.9 1 .'''‘ii i *.PagtitannIttAtffrOgg*IjgrOIWAfietiMinilinft***MOVOng:
Davin Walker
Buyer 1•Noma au __Aanctifiveyance document • Bayer 2•Nama as appears on conveyance document
Hills Road
Milkers Manner anti Stray Maras MOO ung stree)
Princeton,IN 47670
Telephone Number S-mall
Sep 19 2019
THE SALES DIS CLOSU nu v ORM MAY 1311 USED TO APPLY PO II CERTAIN DEDUCTIONS PO R THIS _WEERTYrID ENTIPY ALL OPT/108: IIAT APPOsueggictr-- •
YES NO CONDITION YES NO CONDITION
,
DIV 0 1,Will this property be the buyer's primary 'aro 3,Homestead GrBSO COUNTY AUDITOR CB
residence? Provide complete address of prima: E1-21--4 -• 1 •-!Al— eating/Cool(ng System •
residence,including county: •
0 1 5.Wind Power Device
234 W Makemson Ave
Address(Numbrrand Street) 0 i2I 6,Hydroelectric Power Device
Princeton,IN 47670 °Ibsen 0 Ri 17.Geothermal Energy Heating/Cooling Device
CitaS 1' e'ZIP ode Daum 0IQ/ 8,Is this property a residential rental property?
2.Does the buyer have a homestead in Indiana to be
0 to 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
• property via e-mail? P ontact information
complete address of residence being vacated,
below,Pie se-searstructions for more fannuttc_n&..,, .
Including county! Not able in all counties.)
Address(Number and Street) 26-12-18-103-001. 828-02V ,
Davin Walk
co,State ZIP Coda CO* Primary properly owner contact mem ----- __Fkitaal ----' 1
ID/Other Number
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