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Homestead_Blackstar INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I) .IWY.RER. ti M F J m F Path 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 StlagtglOnia4 Mnateggitgeggag ..w.._,. _ ..._._.._- -_< .. _. . -_ _. `_ '. Secretary of Housing and Urban Development by Sage Acquisitions t LC Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1650 Parkway Place Suite 500 Address(Number and Street) Address(Number and Street) Marietta, GA 30067 City,State,and ZIP Code City,State,and ZIP Code 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". Stf4tre ofSeller Signature ofSeller Printed Name of Seller Sign D to(MM DD/YYYY) Printed Name.o[Seller Sign Date(MM/DD/YYYYI OFM114rACROMZENOWEOMOORIMMAIMMONS IDEN'i'IFY A L:ITEMS THAT-APPEV- RARM.I';lam Thundarr Blackstar _...,., a..ears a, -.nveyancedocument Buyer 2-Name osoppearson conveyance document 805 E Ohio Address(Number and Street) Address(Number and Street) Princeton. IN 47670 E-mail Telephone Number �ff E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.ID THOSE THAT APPL,U I I �$ 2020 YES NO CONDITION YES NO CONDITION C 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary Li © 4.Solar Energy Heating/Cooling System es ence,including county: � v ,D f� 5- ❑ ❑J 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ E] 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 1 1 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 ❑ © 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information eluding county: . e " ns for more information. 8'14 -E ( 14 D Sr Not available in all counties.) ptild ss(f beran A) 1 47&70 6 M 26-12-18-203-000. 111-028 4 V City,State ZIP Code I County Primary property owner contact name E-mail Number License/ID/Other Number