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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER ` 1 Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title Inc. Address(Number and Street) E-mail E.SELLER(S)/GRANTOR(S) - Matthew Byron Michel Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2905 E 100 N Address(Number and Street) Address(Number and Street) Princeton. IN 47670 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature her "of Selle ' Signature of Seller c� Matthew Byron Michel r -2)-l9 �v YYY _ Printed Name of Seller Sign Date(MM/DD/ Y) Printed Name of Seller a 1 ' • . Si, Date(MM/DD/YYYY) F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY AL E? S 1HAdT PIIJ(-) - Emil R. - 'Myer -Name as appears on conveyance document Buyer 2-Name as appears on conveyancs{arpmgyt 3 201J n 2460E 50 N ��tt��'' !{i Address(Number and Street) Address(Number and Street) 46114Princeton, IN 47670 City,State,and ZIP Code City,State,and ZIP Code GIBSON COUNTY AUDITOR ( 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 YES NO rONDITION Z ❑ 1.Will this property be the buyer's primary ( ✓� n 3.Homeste residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 2905E 100 N ❑ 111 5.Wind Power Device Address(Number and Street) ❑ 0 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 E ❑� 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 171 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) 0 7 C -/, -0.3 - yleo - o o a . (-1 .L(0 -o d 7 City,State ZIP Code County Primary property owner contact name E-mail Number License//D/Other Number