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Homestead_Sims INDIANA SALES DISCLOSURE FORM SDF ID: Pale 2 I D.PREPARER W._ ___ Britany Bradshaw Agent Preparer of the Sales Disclosure Form Title 226 W Broadway _ Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 E-mail E.SELLER(S)/GRANTOR(S) , Seller I-Name us appears on conveyance document . Seller 2-Neime as anneors on conveyance document 1980 F SR 64 s Address(Number and Street) Address(Number and Street) Princeton IN 47670 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". R,C0f/t. AA r WO-fA Sip tura nrCoDNr i / 'o Signature of Seller —ij Printed Name of Seller Sig Dat (MM/aD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS THAT APPLY Jacob D Sims Buyer 1-Name as appears on conveyance document Buyer -Name as appears on conveyance document 2110 Ashton Court Apt 25 Address(Number and Street) Address(Number and Street) Princeton. IN 47670 E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLYSep 09 1010 YES NO CONDITION YES NO CONDITION LG ^' i ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1980 F SR 64 ❑ 05.Wind Power Device Address(Number and Street) ❑ z 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ WI 2.Does the buyer have a homestead in Indiana to be ❑ 0 $ Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZI 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) 26-12-16-100-002 . 221-027 Number License/ID/Other Number