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Homestead_Petruso INDIANA SALES DISCLOSURE FORM SDF ID: - Paje 2 D.PREPARER 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.SELLERcSyGRANTORQ — _ _— — - — — -- - - - . - . - ' - 7 Li Yong Dong Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3877 River Bluff Road Address(Number and Street) Address(Number and Street) Vincennes, IN 47591 City, E-mail Telephone Number 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 re it d y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Li Yong Dong q , 11- �J// ` Si' Printed Name of Seller n Date(l'I Printed Name of Seller Sig n gn Date(MM/DD/YYYY) F.BUYER S) GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY dward J. Petruso Heather D. Petruso ILED -raarrrea ears on conveyance document Buyer 2-Name as appears on conveyance docu nt 107 S Spring Street-Apartment 1D 107 S Spring Street-Apartment 1D Address(Number and Street) Address(Number and Street) SEP 1 Princeton, IN 47670 Princeton, IN 47670 8 2019 SryryNN E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATBAPPLY. COUNTY AUDITOR YES NO CONDITION YES NO CONDITION z ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary 4 ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1011 W. Broadway Street ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 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 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 all counties.) Address(Number and Street) ��� ?Z 6 -limo, - y ®g _ coon City,State ZIP Code County Primary property owner contact name E-mail