Homestead_Dunigan (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Michael R. Cochren Attorney
Preparer of the Soles Disclosure Form Title
116 S. Main Street Reeves&Cochren Law Office
Address(Number and Street) Company
Princeton, IN 47670 812-385-1843 mcochrenlaweinsiahtbb.com
City,State,and ZIP Code Telephone Number
E-mail
E:-SELLER(S)/GRANTOR(S)' , -'; n_ , . :-7j-- ; - : ' - 1,7-1; - - .
Rosetta Dunigan
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
102 S Mill St
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Telephone Number 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".
X o ere ��
Signature f Seller Signature of Seller
Rosetta Dunigan C(a/obO an/3
Printed Name of Seller Sign(late( /DD/YYYY( Printed Name of Seller Sipn Date(MM/DD/YYM
IF;BUYER(S)/GRANTEE(S)='APPLICATION FORP.ROPERTY TAX DEDUCTIONSLIIDENTIFY.AI:[:ITEMS:THAT'AEP X. '
-rlain- sunisan
tmyer,-nameas appears,n conveyance document Buyer 2-Name as appears on conveyance document
PO Box 494
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
_YES NO CONDITION YES NO ION
Ki ❑ 1.Will this property be the buyer's primary ®''''---❑ 3. Homestea '
residence? Provide complete address of primary u LSJ 4.Solar Energy Heating/Cooling System
residence,including county: ❑ is3 5.Wind Power Device
I Address(Number and Street) ❑ rs 6.Hydroelectric Power Device
I City,State ZIP Code ❑ 7.Geothermal Energy Heating/Cooling Device
County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
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.
N. . ,•'s., • . . _ -,
Address(Number and Street) - - 17 -/ 1. - oZ 0 -o o Q. I SO - o X
City,State ZIP Code County harlot
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.) ,
I t Hof"'Buyer) G Ll/X.l�(CLYN.
Signature ofBuyerl ( 1 Signature ofBuyer2/Spouse
Earlaine
Number License/ID/Other Number