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Homestead_AdamsC INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 468587 Page 2 D. PREPARER - - Kimberly A- Lewis Office Manager Preparer of the Seto Disclosure Form Title 226 W. Broadway Broadway Title, Inc. Addrev,(Numberard Street) E. SELLER(S)/GRANTOR(S) - James E. Bryant Sr. Sella1- Name us appears on ennvevance document 5,11er7 Namemuppeorson.m,vyumedocument 3532 E 50 S Addrea(NUmberond Strefd Address(NumbernoustmQ Princeton, IN 47674 mil Under pe aloes of perju , 1 hereby cerjjJjjJ��'(y that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and w lete as repair d/by law, nyprepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". Vnom aJSeller — r 2,0 Signature afSeller l7 S -A ICATIONFORPROP ERTYTAXDEDUCTIONS- IDENTIFYALLITEMSTHATAPPLY William Parnell Adams Buyer I- Name asoppeors an mmryan meur Bar 2 -Name usappearson convevnnce document 291 Addrest(Numberand Stmt) Address [Number and Street) Hazleton, IN 47640 - E -mail Tde hone Number E -moil THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION x❑ ❑ 1. Will this property be the buyer's primary ❑x E] 3. Homestead residence? Provide complete address of primary. ❑ © 4, Solar Energy Beating /Cooling System residence, including county: ❑ © S. Wind Power Device 3532E 50 S ❑ © 6. Hydroelectric Power Device Address (NUmbermutStreet) Princeton, IN 47670 GIBSON ❑ ❑ 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? City, State ZIP Cade County ❑ 2. Does the buyer have a homestead in Indiana to be 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.) �—(�—I1 Q OOO 50 OO�q Address (Number and Street) City, Smte ZIP Code County Prim t"roPerty comer contact name 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 ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is beiTig fi d.) U �'e 1a, ign to PbfBeyerl 7 Stgnature of Bvyer2lSpouse /J adanc 522 Number License /ID /other Number