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Homestead_Sloan INDIANA SALES DISCLOSURE FORM SDF ID Page 2 `� �'�a'�-.5 � :"� � � r 7-"i .� xc, s� 4 A zY:i Ya ..^�c,�'#�:1.7s^ trs "`� �'�,.m��,3 �- e.»-a u f � .[ ..aa-v-vi ,:i.�„y t N.�:: --s �t ._P1,tt:ItV NS, «�kTM ham., N _,;�� .>.:;., �_ .. Y-r -.�_ _ ,M., ._ ._..:�_ < U� :� _.._. , . ,�t. ._' „ri `_ ,.. : Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 City,State,and ZIP Code Telephone Number E-mail ;SEE SELL R GRAI1T01 S fl AtV •>Y P .,- e w yA � >,,.. �. E...( �� v.. _����. �� ,.._,am._..,r,-�is,_.'?*�,..:."-�Z.�«�...,z.s....,r.....,.�..&;:'��.._.x��e.,,....�?�c.�.wu ?�.,a-cx,w. ..`-�,,.::.d^=-.,�>.r..s�...Ya-:-.e..� �'.,.�..- �..^'T_ .,.,,:��: ME_ Wendell 0 Hardiman, Sr. Jacqueline L. Harriman Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 586 S Country Lane 586 S Country Lane Address(Number and Street) Address(Number and Street) Princeton,IN 47670 E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct anmplete as required by law,and is prepared in accordance "RealProperty h IC 6-1.1-5. , Sales Disclosure Act". t. cza o . Signature of Seller gnatur (Seller Wendell 0,Hardiman,Sr. /lD/ ? J ZD Jqueline L. Hardiman /D—Si) —q° Printed Name of Seller Sign ate(l4 /DD/YVYY) Printed Name ofSeller S{qn Date(MM/DD/YYYY) s=Fr BUYER(A)(G TE ( ilan ClaTQN OR PROP WMEtatir aI IDENTI ALOTEMSAN;I 'APplY1 j`t _ Kelley Marie Sloan I V 1 ft f-i J . 6-c G(S S Buyer 1-Name as appears on conveyance document Buyer 2-Name ass appeea�ars on conveyance document (� 7AO2 ddresaNumber0n Ave.and Street) Add e� Nu e and StreeettM� STAR* C,��J l Princeton, IN 47670 ) �'1 Ai - q ,) ` ,�, `-, C> BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. , YES NO CONDITION YES NO CONDITION JM� 2 ❑ 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: 586 S Country Lane ❑ [Z S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County IZI ❑ 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 ❑ 0 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. 702 Makemson Ave. Not available in all counties.) Address(Number and Street) Princeton, IN 47670 Gibson 26-11-15-100-003.802-027 City,State ZIP Code County