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Homestead_Blecher
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Daniel L. Siewers Attorney Preparer of the Sales Disclosure Form Title 513 Main Street Hart Bell, LLC E-moil E.SELLER(S)/GRANTOR(S) FILE D John F Dunning Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1016 S Adams St JUL 2 7 2022 c7(-- .\ Address(Number and Street) Address(Number and Street) Princeton IN 47670 c-l)_ 1 a. taf.64.4 Ciry,State,and ZIP Code City,State,and ZIP Code GIBSON COUNTY AUDITOR E-mail Telephone Number 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". r Liy( Signature of Seller f� Q Signature of Seller Inhn F Dunningdv /02019 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/vrrr) F.BUYER(S)/GRANTEE(S)-AP' C ION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Karen R. Belcher Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 424 E. Emerson St. Address(Number and Street) Address(Number and Street) Princeton, IN 47670 City,State,and ZIP Code City,State,and ZIP Code Telephone Number � YES NO CONDITION z ❑ 1.Will this property be the buyer's primary Im/ L: 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 5.Wind Power Device Address(Number and Street) ❑ WI 6.Hydroelectric Power Device ❑ z 7.Geothermal Energy Heating/Cooling Device City,State ZIP ode County ❑ L 2.Does the buyer have a homestead in Indiana to be ❑ 0 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. Not available in all counties.) Address(Number and Street) �6 � 2- l7"1 -��3 -Ot�� I � � — OZ3 . City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number 1