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Homestead_Brown (11) INDIANA SALES DISCLOSURE FORM SDF ID: Page 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 t SELLER(S)/GRANTOR(S)_ ._ '_ _.;_ __ - -- -- _.! _ ,. ._:_,. ,:,_,__ - Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document Address(Number and Street) Address(Number and Street) City,State,and ZIP Code City,State,and ZIP Code I � 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 II 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 of Seller Sign Date(MM/DD/YYYY) F.BUYER(S)/GRANTEE(ST__APPLICATION-FORPROPERTY TAX DEDUCTIONS IDENTIFY Ail ITEMS,THAT APPLY__._ _.._ __ tuber F. Brown _ -_ Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 319 E. Ohio Street Address(Number and Street) y ++ Address(Number and Street) Princeton, IN 47670 ®`eS • ...I �\ Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTA $FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION N GO YES NO CONDITION 0 ❑ 1.Will this property be the buye �crimary ( 0_❑ 3_Homestead--} residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 5.Wind Power Device 2607 W 50 S 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 Q ❑ 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 ❑ Z 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. 319 E. Ohio Street - Not available in all counties.) Address(Number and Street) ------- —__-------�---7)Princeton, IN 47670 Gibson 2107 �5 . 2e Z-bD0__ 761__D2_7_' City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D PREPARERS _, '. _.... _ - :_ -.. ___ _.,. ._ - 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),_,. . James W. Rodgers Denise A Rodgers Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2607 W 50 S 2607 W 50 S Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 City,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penal '•- s ?rjury,I her• . certify that this Sales Disci'sure,to the best of m knowledge and belief,is true,correct and co i' ' • s require 1 ' aw :nd is prepared in accordance • ith 6-1.1- ro er Sales Disclos react". .;(1 /,2-.27--/4 1 nit , 1 7711 Sip. of Seller . . re ofSelleT'' ames W. Rodgers Denise A. Rodgers T-71 Ht Printed Name o Seller Si.n Date MM DDT/ Printed Name o Seller Sr u Date MM DO F BUYER(S)/GRANT:EE(Sj.=xAPPLICATION_FOR P•ROPERTt TAXDEDUCTIONS IDENT,IFY ALL:ITEMS TufECAtPLY__ _ ... _._ __ - 4. James C. Hornby Diane J. Hornby U 0 1Uj� i Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 505 N.West Street 505 N.West Street , ' Address(Number and Street) Address(Number and Street) �+'BSON COI uif4e / N 1/ Fort � " va -- 1-13I - (7q Telephone Number F< O.r it} Telephone Number E-mail I: I THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR C� D C IONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's el 1 1.' Z ❑ 3.Homestead residence? Provide complete add �I rima r1' El © 4.Solar Energy Heating/Cooling System residence,including count %. 9 2607 W 50 S ❑ 0S.Wind Power Device Address(Number and Street) ❑ 71 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Z ❑ 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. 319 E. Ohio Street Not available in all counties.) Address(Number and Street) Princeton, IN 47670 Gibson City,State ZIP Code County Primary property owner contact name E-mail ' Pq 2c 2 .