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Homestead_Kolb (5)
iNDIANA SALES DISCLOSURE FORM SDF ID Page 2 YitaaBAURSrw..VaaV.w,x, NagM{..w•x ._IR+. ..ur. ,Sid..a..u<fi-n s.<.u.......4.:.,, a...<,_.�_.t.dr,<_4 r....s...a3 te.,.,.;:_CZtga..,.t...- aZan 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 ( City,State,and ZIP Code Telephone Number E-mail E_SkatIMYGR91t1 0,R(Sra� ; , WSS S TM t gf gN Y a <z :- :� } John T.Byrd Sherry L Byrd Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 916 E Ohio Street 916 E Ohio Street 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 and complete as reqby law,and is prepared in accordance wit IC 6-1.1-5.5,"Real Prggerty Sales Disclosure Act". Qt!u/4L2r3hii4d `Signature SelIN cath- John T.Byrd 12' 1 T Sherry L.Byrd I p 'f dt/9 Printed Name ofSeller Sig Date[MM/DD/YY Y) Printed Name of Seller Sign Date(MM/DD/YYYY) 03;UYEfaraWit (SMnitafiI,aVAVPRZ1 R 1g.MenUOTTQly aingat1 Sr.-,,4 L,,.I,T_ENI ittt ,AP.)?al tee...S.:; ...-. Jacob H.Kolb Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 107 S.Spring Street-Apartment 2G Address(Number and Street) Address(Number and Street) Princeton, IN 47670 E-mail Telephone Number Dec 14 2020 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 i ►—� 0 ❑ 1.Will this property be the buyer's primary R ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ WI 5.Wind Power Device 916 E.Ohio Street Address(Number and Street) ❑ 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ WI 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 El 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. Not available in all counties.) Address(Number and Street) 26-12-17-103-004.249-028 Ctry,State ZiPCode County Primary property owner contact name E-mail Number License/ID/Other Number