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Homestead_Wells (6)
• INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 J;:D PREPARER .'._. :... Roman Ricker Partner Preparer of the Sales Disclosure Farm Title 219 N Hart Street, PO Box 13 Partenheimer. Kinkle&Ricker Address(Number and Street) Company r Princeton, Indiana 47670 mail ;E SBLLER S 'GRANTORS `. 1 Bradley T Clark Selena S Clark Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 500 W Washington Ave 500 W Washington Ave Address(Number and Street) Address(Number and Street) Greenville. OH 45331 Greenville, OH 45331 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 requ• e y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". g d___Z = X V,L,/,/_/?.de_, I signatureofSeller Signature of Seller Bradley T Clark X 6/2.27/z-oXo Selena S Clark 6 •u22'oq04O Printed Name o Seller Si n Date(Mht DD 'I Printed Name o Seller Sian Date UM DD YYYI ,;BUYE:R S G,RANTEE S __..APPLICATION FORS OP IM:TAM DUCTINS,:_,:,IDENTIFY ALEITEMS THAT-APPLY;_ _ ‘,;::;1. ':,'.'-',_ } Thomas C'Wells Kimberly L Wells BuyerI-Nameasappearsonconveyancedocument Buyer 2-Name as appears on conveyance documen 914 E Ohio Street 914 E Ohio Street Address(Number and Street) Address(Number and Street) ,� 7 Princeton,Indiana 47670 Princeton. Indiana 47670 7✓ ,,,kijr City,State,and ZIP Code C'/ / CU E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE �..1 ITS NO CONDITION YES NO CONDITION �'v 'Iv ❑ ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead ,ip,., residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System'r residence,including county: 428 S Main Street E] ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Princeton, Indiana 47670 Gibson ❑ yi 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 El [I] 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) 6 -12- -n1 3JL\--00o • 010- 07 City,State ZiP Code County Primary property owner contact name E-mail