Homestead_RichesonINDtANA SALES DISCLOSURE FORM SDF ID: Pa e 2
- . - .. .,� ,.-.
:D.PREPARER',."....'°�,'�'NT �ot..':`..%d'.`_Y ,. i� � 's���, a� a .,�_�s,t'[e �ti_�.��w.s���_:c`ry,:.. ._ K"'i-._$.�i;"r�; s �r^ i.:�-_
�t
Laura Rininoer Closino Coordinator
Preparrr o(rhe Salc Disdosure Form 15t1e
820 Ea le Crest Blvd Ste 207 Reqional Title Services. LLC
Addres (h'um6er and SveetJ
Cig; Smte, ond7JPCade Telephone Num6er E-mail
ESELLER S GRANTOR S �y' ,.c;.. *�_-.+' , ` _ � a:.•4z. ;� _
Nettv IIe.
Seller ]- Name as appmrs om m�vevonre dotvment Seller2 - Name as appmrs on conveyunre docvment
3�7 W 400N
Addras(Numberand5treet) pddrgs(Numberand5treet)
Patoka. IN 47fifi6
Cin:Srnte, and7JPCode CiN Srutg andTJP lode
E-muil Tde honeM1'umber E-moil
Under penal[ies of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, wrrect
an omple�t'e as re�ui{�ed by la�and is prepared in acc_ ordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Ac[".
�Q ��n � o�
.bJL_Q L� c d..e.-.
S�gnomreo/Seller SgnomreofSvJler
N� IIe by L� Ile Attomey in Fact 70/1N2012
PnnudNameo(Sdfer SianDa[e(xM/on Pnnraih'ameo Seller SIOODUI¢ MM/OD
F.BIJYERS GRANTEBS �-APPLICATIONFORPROPERTYTAXDEDUCTfONS-1DENTIFYAI.LITEMSTHATAPPLY-':.:<'.`-�.�+.�=�`;'�i-
Travis J. Richeson
Buyer ]- Nameas appmrs am m�vevance dxvment Buyvl2 - Name as appevrs on romeyanre dacument
8815 450E
Addras (Num6er ond Sveet) Addrm (Number and Stree[)
rancisco IN 47649
.iry, Smre, and ZIPCade Cig; Sm�e, and LP Code
Tele honeNumba E-mvil Tele honeNUmbu E�mail
TNE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.Y DEDUC710N5 FOR THIS PROPERTY. IDENTIFY ALL OF TNOSE TNAT APPLY.
1'FS YO CO\DITION I YES NO CONDRION
❑J � 1. Will [his property be the buyer's primary Q � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county:
1019 S. Adams St. ❑ ❑� S. Wind Power Device
Addras(Numberand5tree[) ❑ ❑✓ 6. HydroelecTric Power Device
Princeton. IN 47670 Gibson � Q 7. Geo[hermal Energy Heating/Cooling Device
Ci9; SmteTJPCade Counry
❑ �✓ 2. Does [he buyer have a homestead in Indiana to be � ❑� $� �s [his property a residentlal rental property?
vacated for this residence? Ifyes, provide ❑ ❑✓ 9. Would you like [o receive tax statemencs for this
complete address of residence being vacated, property via e-mail? (Provide conmct information
including county: belaw. Please see instructions jor more information.
Not availa6le in all counties.)
Addras (A'umber and Sveet) '7 �7
Ci9:5rare7JPCode � �o'�IX '� / ' �� / � � /• i 3a � - oa g
Lounry
Pnmaryproperryoumerronmt[name E-mail
Under penalties of perjury, t hereby certify [ha[ this Sales Disclosure, [o 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 Disciosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
beiug filed.) '`J
/.� i� i��^�/
Sqnamrea%BVyYr] S(qnonlreafBwe2/Spouse
Pnn;edLegalNameo(Bvyerl SignDate(MH/un/YYYI] PnnredLegalNameojBUyer2/Spouse SgnDate(HM/DD/YYY1]
��
L¢s[SdigiGSOfBuyerlDnver's Smre Las[SDigiCSO�Social5ecurityNumber LastSdigiGSOfBuyer2/SpouseDnver's Stnte LastSDigiGSOjSorialSecuriry
Liceue/ID/OrherNum6er Num6er License/ID/OrherNum6er