Homestead_Maddle INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
`D:PREPARER -
Dan L.Aeeves Attorney
Preparer of the Sales Disclosure Form Tide
ob t
116 S.Main St. REEVES&COCHREN
Address(Number and Sweet) Company
Princeton,IN 47670 812/385-8641
Ciry,State.and ZIP Code Telephone Number E-mail
•
•
Country Ayre. Inc
Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2982 E Warrenton Rd
Address(Number and Street) Address(Number and Street)
Hauhstadt IN 47639
Telephone Number E-mail
Under ,enalties of pe j . hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and CQ 91:y• • t.L t ,`I law,a. . i .repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller '(/ // Signature of Seller
IL o %a F (23- eaebre--/ /-S/3
Printed Name of Seller Sign Date IMM/DD/rrv1) Printed Name of Seller Sian Date(MM/DD//Y11)
:Fs. =--...ttq yLet ar.._. S) APPLICATION.FOR PROPERTY TAX D_ 1. : • : -• IFY ALL ITEMS THAT APPLY -
4 Michael D.Meddle Karrie A. Maddle
Buyer! Name as appea • onveyance document _ Buyer 2-Name as appears o conveyance document
Address(Number and Street) Address(Number and Street)
Tell City, IN 47586 Tell City, IN 47586
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE• .'4!ENTI : I THOSE THAT APPLY.
Y NO CONDITION
ES N / O CONDITION
1.Will this property be the buyer's primary 1m L, 3.Homestead \
residence? Provide complete address of prima N.... n a 4.Solar Fner_y --ting/Cooling System /�
residence,including county: ❑ 5.Wind Power Device \-)�
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
City,State ZIP Code County 0 7.Geothermal Energy Heating/Cooling Device
❑ NI 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 ❑ IN 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 Addres(Number and Street) _)6 . Q -it- x—�,54110a4
Michael D.Maddle C NJ ` N V1/
City,State ZIP Code County
Primary property owner 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
being filed.) /�
� �s � Vii_rte! _' -/►r / �i. -
Signature ofBuyerl Signature of Buyer2/Spouse
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I or st/ Lr /-x13 Xor'r/c 4, /cuk3/e i-5-/3