Homestead_Cederholmf�D1A�A S.�LE$DISCLOSURE FOR\1 SDFID SDOID 676457 Page?
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Samantha Culsinger
Preyarerof�he Scfes Ouclorvre Form Title
226 W. Broatlway Broatlwav Title, Inc.
AJdra> (i�'vmLer and SvectJ Compvny
Princeton, IN 47670.
bry, Nnte, onE ZIP CoCe Tdephone Nvmber E'�mail
E.SELLER S GRANTOR S
Sean M Dunlap
Srller ]� N�mr vsnp�reun an �vmrynnae daumem Sr/!er Z� Nume ns uppevrs on mmayvnce dnroment
1842 E State Rd 64
Addrers(NUmberand5vrer) Addrts(NUmberand5[rtec�
Princeton, IN 47674
Email Tele hvneNumber E�mail
Under penalties of perjury, t hereby certify that this Sales Disdosure, to [he best of my knowledge and belief, is true, correct
and com ete as rgquired ��w, and i prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Act".
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. BUYER S GRANTEE -APPLICATION FOR PROPERTY TN( IONS- IDENTIFY ITEMS THATAPPLY
John W Cederholm Misty D Cederholm
I ' '''"' .-,.YCarsmmnveyvnadxvmm: B cr2�Nam ^^ nronvewnredo[umen[
429 W. Glendale 429 W Glentlale Si.
AdJrea�(A'umcer md 5[rer[) A�dress (Number anJ Streec)
PrincetOn.IN 47670. Princeton,IN 47674
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Emoil ide orteNUmbei - E-mvil
T{E SALFS DISCLOSURE FORM MAY BE USED TO APPLV FOR CERTAIN DEDURIONS FOR THIS PROPERTY. I DENTIFI' ALL Oi THOSE TMAT APPL1'.
YES NO CONDITION I 1'ES NO LOti01T104
x� � 1. Will this properry be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of primary � Q 4. Solar Energy Heating/Cooling System
residence, induding counry: ❑ �
1842 E. S7ATE RD 64 5. �Vind Power Device
AAdress(Num5erand5tree[J ❑ Q 6. Hydroelecvic Power Device
Pnnceton, IN 47670 GIBSON � � �, Geo[hermal Energy Heating/Cooling Device
Ciry, Smre ZIPCodr Counry
X� � 2. Does [he buyer have a homestead in Indiana to be � � 8. Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. 4Vould you like to receive tax swtemenu for this
complete address of residence being vacated, property via e-mail? (Provide contnct information
induding counry: below. Please see ins[ructions%r mor'e in(ormanon.
429 W. GLENDALE ST. Not aVailable in aU [ounties.)
Addrers (Num6rr ond5veet)
Princeton,IN47670 GIBSON ���/�—�9�OQ,�QO,/7� Q�7
Ciry.SmteZIPCWe Counry
Primary Aroperry mma mrtma nume 6"-mail
Under penalties of perjury, I hereb}• certify that this Sales Disclosure, to the best otmy knowledge and belie(, is cne, correc[
and mmplete as required by law, and is prepared in accordance tvith IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security a d Driver's License/Other numbers are not necessary if no Homestead Deducrion is
bein fi d.)
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