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Homestead_DeHosse
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D PRPARER: 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 ( City,State,and ZIP Code Telephone Number E-mail E SELLER(S)%GRANTOR(S: .:: ..__:__ •y,.'_. ; -:_. r' -, Brant S Hull Christy L. Hull Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1709 S. Main Street 1709 S. Main Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 E-mail Under alties of perjury,I he certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a complete as required pj law,an is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signetr a ler Signature ofSel r rant S. Hull — ?J r.26 Christy L. Hull / i a 0 Printed Name of Seller S,n Date(MM/DD/YmY) Printed Name of Seller Sign Date(MM/DD/YYYY) F. , OPERTY TAXDEDUCTIONS _IDENTIFY ALL ITEMS THAT'APPLf- _ Stacy L. DeHosse Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docu nt 608 S. Gibson Street + Address(Number and Street) Address(Number and Str•- ,: t Princeton, IN 47670 IW4• E-mail Tele hone Number G .-s a . , E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR RTAIN DEDUCT[ S FOiV OR ' IS PROPERTY. IDENTIFY ALL OF THOSE TH (AI NT�,/.20 Y NO CONDITION YES NO CONDITION YA/iD, _ 0 1.Will this property be t • .uyer's primary Z ❑ 3.Homestead Oit 'deuce? Provi.- omplete address of prim. ❑ © 4.Solar Energy Heating/Cooling Syste residence,Inc uding county: 1709 S Main Street ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ z 6.Hydroelectric Power Device Princeton,IN 47670 Gibso• ❑ Z 7.Geothermal Energy Heating/Co 0 ing Device City,State ZIP Code Cour. Z ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8.Is this property a residentia ental property? vacated for this residence? If yes,provide III0 9.Would you like to recei •• tax statements for this complete address of residence being vacated, property via e-mail? •rovide contact information including county: below.Pleas- .••instructions for more information. 608 S. Gibson Street Not available in all counties.) Address(Number and Street) Princeton, IN 47670 Gibson c_Q—1 — 1? C) _ Oz6 ( 'J"-Oa 2- City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number