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Homestead_Wise
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 r i' cY ,y 'Y ems` s--, ��- - "' ,�.-'^s,�. ,LL" ''''' „. _ Jeff Fox Title Coordinator Preps eroftheSalesDisclosureForm Tide 3930 Mezzanine Drive,Suite C Columbia Title, Inc. Address(Number and Street) Company Lafayette, IN 47905 E-mail Y ( l t Z..� � M ,R. .N,- -"- .:F r,, ,,. ' -�=-c._ y Z; SWMW: Joshua Meeks Richard J. Georges Jr. Se er1-Name as appears on conveyance document Seller 2-Name gs appears on conveyance document Address(lyainber end treet) I. Address(Numli randStre t) eah,a.Acv m 4/1WO 4 nr,wtosq 0 Lilotl Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an o ylete as reti-by law'and is prepared in accordance h C 6-1..1-5.5,"Real Property ales Disclosure Act". rgnatureofSe eer tt Signature ofSellert J f Joshua Meeks jO%] �L� Richard J. Georges Jr. 7 U/ Printed Name ofSeller Sion to DIM/DD/YYYY) Printed Name of Seller S ,n Date cMM/OD/YYYt1 VJA,I 3�>igara 1—'r g .. L �wrteM:0 fl 1 0.0 1TO M NIB C h it.PP : • e Christopher K,Wise 1 Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 710 East Water Street i Address(Number and Street) Address(Number and Street) Princeton, IN 47670 BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY YES NO CONDITION YES NO CONDITION Z ❑ 1.Will this property be the buyer's primary 17I ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 710 Fast Water Street ❑ El 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El 121 2.Does the buyer have a homestead in Indiana to be ❑ 08•Is this property 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 including county: below.Please see instructions for more information. Not available in all counties) Address(Number and Street) 26-12-07-402-003.021-028 City,State VP Code County Primary property owner contact name E-mail