Homestead_BruceI\DIA�A SALES DISCLOSURE FORJI SDF ID SDO N 724462 Page 2
D.PREPARER � � � -
Kimberry A Lewis ORce Manager
Prcparero/rhe Sala Dw/mvre Form Ti;fe
226 W. Broadway Broadvray Title, Inc.
Addrzn (NumGerond SneetJ Campany
Princeton, IN 4767Q
E.SELLER S GRANTOR S
Nancy Lynn Bruce
SrOer 1- Namevs appwrs om m�va�v�rce drcument Sel/n' Z� Nume arappevn m mnmvnre dorvment
2645 N. Old Petersburg Rd.
,iddras (Nunber ond 5[rcetJ Address (4'um6er andSvmc]
Princeton, IN 47670.
Ciry, Sm[4 e�dLP Code Gry, Seaec, nnA21P fnde
Tele hvneNUmber E-mnil
Under penalttes o(perjury, 1 hereby certify that Ihis Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as re uired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Si namreaJSell Signamrro(SNler
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F.BUYER S � GRANTEE S �-APPLICATION�FORPROPERTYTAX�DEDUCTIONS=1DENTIFYALLITEMSTHATAPPCY
David W. Bruce
Buyer 1- h'mne as oppears om m�veyanre dxvmen: 9uyer 2� Name os nppears m mnvev�nae dacument
2196 E State RA. 64
dCdress(�4umberanJ54eetJ Addras(NumbrrondStrne)
Pnnceton, IN 47670-
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THE SALES DISCLOSURE FORA1 MFV BE USED TO APPLY F00. CENTAIN DEUURIO,�'S i0R TNIS PROPERTY. IDENTIFI'.1LL OF TNOSE THAT APPLY.
YFS NO COVDITION 1'ES NO COYDITIOV
Q � 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead
residence? Provide complete address of primary � Q 4, Solar Ener� Heating/Cooling System
residence, including munty: � �
2796 E SR 64 5. bVind Power Device
AAdras(NUmSrrand5vret) ❑ Q 6. Hydroelectric Po�ver Device
Princeron, IN 47670 GIBSON � � 7, Geothermal Fnergy Heating/Cooling Device
CIty.SIVttZIPCode Counry
�� 2. Does the buyer have a homestead in Indiana m be � � 8. Is this property a resideniial rental property?
vacated for this residence? If yes, provide ❑ 0 9� �Vould you like to receive tax swtements for this
complete address of residence 6eing vacated, property via e-mail? (Provide conmtt information
including county: below. Pleose see instructions%r more in%rmation.
Not available in all counties.)
Addrns (A'um6rr md5uttt)
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Ciry.Sm¢ ZlPCOde Counry �
thimarypmprrp•mmomr.mclname E�mail
Under penal[ies o(perjury, I hereby certify tha[ this Sales Disclosure, [o [he best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
bein filed. �� � �
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Signamrta(B�.yerl � 9n mreo(/u��er2/Spouse �
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FnntedLegalNameu(Bu}�er] 5(qn�att�MH/DOM»l ��'
License/ID/O[h.erNvmber Number Lirense/10/OtherNUmber