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Homestead_Wallace
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I) .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) Rickey L Walden Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 300 West Davenport Street Address(Number and Street) Address(Number and Street) Fquality, IL 62934 ' City,State,and ZIP Code City,State,and ZIP Code ( I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c ple as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". gnature of Sell Signature of Seller 1 Rickey L Walden Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F.BUYER(SJ/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY THAT APPLY 1 Levi Wallace Tailer Payne Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 500 West Warnock Street-Lot B-2 500 West Warnock Street-Lot B-2 Address(Number and Street) Address(Number and Street) �,.- '+ Princeton, IN 47670 Princeton, IN 47670 jj 4, . , A U G AYH E-mail' THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 4./z ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead GIBSresidence? Provide complete address of primary ❑ © 4.Solar Energy Heating/CoolingSystem AUDITOR residence,including county: 408 West Grave Street ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Patoka, IN 47666 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El 0 ❑ 2.Does the buyer have a homestead in Indiana to be 111 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ lyj 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. 500 West Warnock Street-Lot B-2 Not available in all counties.) Address(Number and Street) • ))� Q Princeton, IN 47670 Gibson 2-6^O- — 2_c-101_ 000. `7 lI(I _0 2,0 City,State ZIP Code County Primary property owner contact name E-mail