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Homestead_Casteel
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D PREPAMI SI R A r, a `` rr 4 EI , V 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 S LEER S �� � '� <GRANTOR(S) �.n�� _..�...�'v .�._�� � <- -.�, .�, __ ,y _ =., ...._.,Wa,a EMZM agaggiVICal Betty.l Simmons Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 915 West Drive Address(Number and Street) Address(Number and Street) Oakland City IN 47660 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". • !J Signatu of Seller Signature of Seller Betty.I. Simmons kJ„PsT ,q/o01T. h Printed Name of Seller Siggn ate( /DD/YYYY) Printed Name ofSeller Sign Date(Mhf/DD/YYYY) g $ ;--f7= RAP111MIRYNO itelWEIMEXIMETIRWrial8tirDENTMigniffEM,S`:T#1A A _PLY`_ MEw :_`.,. w ( Christy R.Casteel \\\ R�yeL1•nr�+ eyance document Buyer 2-Name as appears on conveyance document 609 E. Brumfield Avenue Address(Number and Street) Address(Number and Street) Princeton, IN 47670 City,State,and ZIP Code City,State,and ZIP Code F I LED ( E-mail Telephone Number Aiig 03 7n2n E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE ALL OF THOSE THAT A Y.. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead GI ON COUNTY AUDITOR CB residence? Provide complete address of psi © 4.Solar Energy Heating/Cooling System residence,including county: 825 N.Highland Avenue ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland City, IN 47660 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El 2.Does the buyer have a homestead in Indiana to be Li8•Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 2 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: b ons for more information. Not available in all counties. Address(Number and Street) 6-14-18-102-001. 017-007 City,State ZIP Code County Prin E-mail Number License/ID/Other Number