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Homestead_Smith (18)
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1782226 Page 2 D.PREPARER - - - • - • - Kimberly A.Lewis Office Manager Preparerof the Sales Disclosure Form Title 226 W.Broadway Broadway Title.Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim-bti @insightbb.com City.State,and ZIPCode Telephone Number E-mail E.SELLERS)/GRANTOR(S).. - -. . " . - •- _ - -', - Virginia M.Jackson Luff Revocable Living Trust Seller I-Nurne as uppeon on conveyvnce document Seller 2-Name us appears on conveyance datatacnt P.O.Box 107 Address(Number and Street) Address(Number and Street) Owensville, IN 47665- Telephone Number E-mall 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". 64ry�.tA al 4)- 6 �0 / ,1.4.t-r a -- Signatu of Seller Signature af.Seller . r ^ , •: LG.S G YI k. 0 . P ld Vann Caller • c;,.n".env mnrvvm Printed Nn,ne.J collar cu,n fY•.r to kg mnrvmn F:BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT.APPLY-_, __ -_ Terry R.Smith Buyer I-Name as appears on conveyance document Byer 2-Name as appears on conveyance document 5977 S 1050 W Address(Number and Street) Address(Numberand Street) Owensville,IN 47665- Telephony Number E-mail THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION 1' NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ 4.Solar Energy i�ln; olinF�S±)st�t1 , residence,includin g county: ❑ © ]LJ ILL! 118 SHADY LN. 5.Wind Power I ; is Address(Number and Street) ❑ ❑ 6.Hydroelectric Powe�r�Deevic y Owensville,IN 47665 GIBSON ❑ ❑ 7.Geothermal Energy Otilg ��rig Device City.State ZIP Code County ❑ © 8.Is this property are 'dential en . • •: -rty-. ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ;( vacated for this residence? If yes,provide ❑ © 9.Would you like to • 1.y. :8--1:1M11/.. ents for this complete address of residence being vacated, property vi. : it ft fa 'f.Tt)frfSiliSlAjddRation including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) City.State ZIP Code County Primary property owner contact name E-mail