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Homestead_Norton
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 E.SELLER(S)/GRANTOR(S) - _ _ James S.Retz Pamela C Betz Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 400 East Walnut Street 400 Fast Walnut Street Address(Number and Street) Address(Number and Street) Fort Branch IN 47648 Fort Branch, IN 47648 E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an complete as required by law,and is prepared in accordance with 6-1.1�al Property Sales Disclosure Act". ignature of Seller - /52/Zoz Signature of Seller amen S. Betz6. Pamela C. Betz 6//e/r-7U CSPrinted Name of Seller ate(MM/DD/YYn) Printed Name of Seller Sign ate(MM/DD/YYYI) F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS THAT APPLY_ . ti ler J. Norton Jordan C. Norton er - ame as appears on conveyance document Buyer 2-Name as appears on con ce oc en 102 S.Walters Street 102 S.Walters Street Address(Number and Street) Address(Number and Street) ,,p LIHIV 9 l p 2020 Ft. Branch, IN 47648 Ft. Branch, IN 47648 City,State,and ZIP Code City,State,and ZIP Code ( �nI�I }} `` '� ;AUDITOR E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OIC.g'I ShYHAT-A(PYLY�T�/ i�v YES NO CONDITION Y NOLTION 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestea residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 400 East Walnut Street ❑ 0 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch, IN 47648 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 ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide E 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. 102 S.Walters Street Not available in all counties.) Address(Number and Street) pp Ft. Branch, IN 47648 Gibson 01(Q ' re _ / g- ,3 0.3 -COO, 06,8-O a4 City,State ZIP Code County Primary property owner contact name E-mail