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Homestead_Williams (45)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ft,,TY.PREPARER --- Sheri L. Greene Preparer of the Sales Disclosure Form Title 1122 E. Ohio St Address(Number and Street) Company Princeton, IN 47670 City,State,and ZIP Code Telephone Number E-mail E SELLEA(S)%GRANTOR($):•_-�_._ _- -__.:- _'-'1.-_ .. = .2:: y ...-.:,_:.1,_ _ . ,-- :_ Patricia D Vanoven Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 916S Hall St Address(Number ~ City,State,and ZIP Code E-mail Telephone Number E-mail Under penalties of perjury, y certify that this Sa s 'sclosure,to the best of my knowledge and belief,is true,correct and complete as re by aw,and is prepared in accordan with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". k_ - e-L--,-,-/' fa---11,1--4-t_____—.../ SIgnature. eller- i Signature of Seller 12L / ?01,9L rime ame of Seller Sign Date(MM/DD/YYYY) P ' ame of Seller Sign Date M/DD/YYYY) 'ILB F ER S- /GRANTEE($), .APPLICATION_FORRPROPERTY T_ U ,IONS. I,DENTIFY ALL,ITEMSTHATAPPLY' i. :_ atricia Kenyetta Williams odregius DeMarco Hayes Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 620 N Seminary St 620 N Seminary St Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 .� )/ 0� •\ / 171 ❑ . • • be the buyer's primary Z ❑ 3.Homestead ,- o ' residence? Provide complete address of primary ❑ © 4.Solar Energy Hea i Sm residence,including county: r1 620 N Seminary St ❑ ID5.Wind Power Devi c,0 Address(Number and Street) ❑ 0 6.Hydroelectrr�o`�Over Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ B•is this property a residential rental property? vacated for this residence? If yes,provide ❑ Zl 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) City,State ZIP Code County Primary property owner contact name E-mail