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Homestead_James INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER:. Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St. Broadway Title, Inc. Address(Number and Street) E-mail E SELLER(S)/GRANTOR(S)__ I Secretary of Veterans Affairs,an Officer of the United States Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 6900 Almeda Road Address(Number and Street) Address(Number and Street) Houston,TX 77030 City,State,and ZIP Code City,State,and ZIP Code Telephone Number 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 of Seller Signature of Seller Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name or Seller Date(MM/DD/YYYY) F, ._BUYE G. E(S)-APPLICATION FOR PROPERTY TAX:DEDUCTIONS=IDENTIFY ALL, _. -AT' _ L even W. James Jeana L.James uye,i-,rume ua appears o onveyance document Buyer 2-Name as appears on conveyance document 602 S Main St. 602 S Main St DEC 262019 Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 DEDUCTIONS FOR THIS PIjpF£ HOSE THAT APPLY. - YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary IZI ❑ 3.Homestead residence? Provide complete address of primary ergy Heatin /Cooling System residence,including county: ❑ 5.Wind Power Device 515 S Miami Drive Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Patoka, IN 47666 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device City,State ZIP Code County {� ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8.Is this property a residential rental property? l vacated for this residence? If yes,provide ❑ yi 9.Would you like to receive tax statements for this complete address of residence being vacated, y via e-mat . ontact information including county: below.Please see instructions for mo ormation. Not available in all counties. ) ss Number and Street) City,State ZIP ode } County — - / INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARERS_- t-4 -`"` M7,A. .tiz ea'n 0 s 7kA a- -: U _.L ,...___ . %a.. $ f,-r.43aR,_.afam_A;: ._. < .:_ Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St. • Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 E-mail E,> w. _ .� � .�r�� _ �Qs.-.a 'y ' f�y-� '� "'�' 4.r.'' _:, �K S rts. *4h yam:fitr �k +i giros ��o -,,.� ,v :.y .y,� r�.,�3g .,. SELLER($)AMl OXM'_..,_ _},_ ..r� ..� �.,.. __z ..0�.w r..�,..;:. N ._. . gg >;:_ ,_ _ — - _.'_ _." y. `s r $ ....._)..>i.....,_:..�:aa.2as.�...,5>E. ...��.__....�...n3_..,._.,�[..r'...._.'F'r_,_..-.,� ....? .='x Secretary of Veterans Affairs, an Officer of the United States Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 6900 Almeda Road Address(Number and Street) Address(Number and Street) Houston,TX 77030 City,State,and ZIP Code City,State,and ZIP Code Telephone Number 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". �,. 12/23/2019 The SECRETARY OF VETERANS AFFAIRS,an office of the United States of America. By the Secretary's duly authorized property management contractor,Vendor Resource Management,pursuant to a delegation of authority found at 38 C.F.R.36.4345(f) igWYE},t(S)/GRANTEETS�_ PP.LICA'TI,O`N.FOR_PROP:RTYTAXUEpUMNS'.AID' IVTI'FYALT3aITEMSnkaeAY SB_t_S Steven W, James Jeana L.James Buyerl-Name as appears on conveyance document Buyerl-Name as appears oncajcbtum•n 602 S Main St. 602 S Main St Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 DEC 26 2019 E-mail Telephone Number ��}}'I� E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL FH9 TAPPLY.Y.AUDITOR :YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device 515 S Miami Drive Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Patoka, IN 47666 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device City•State ZIP Code County [1] ❑ 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 ❑ 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) 26. C°4 2-r--400 —030. —02-1 City,State ZIP Code County Primary property owner contact name 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".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) Signature of Buyerl Signature ofBuyer2/Spouse Steven W James Jeana L James Printed Legal Name of Buyer 1 Sign Date(MM/DD/YYYY) Printed Legal Name of Buyer 2/Spouse Sign Date(MM/DD/YYYY) Last 5 digits of Buyer I Driver's State Lasts Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Lasts Digits ofSocial Security License/ID/Other Number Number License/iD/Other Number