Homestead_Beadles INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Carrie Harmon Miller 'Attorney for Personal Representative
Preparer of the Sales Disclosure Form Title
123 NW 4th Street, Suite 304
Address(Number and Street) Company
Evansville,IN 47708 (812)434-4918 carne @carrieharmonmiller.com
City.State,and ZIP Code Telephone Number E-mail
EsSEdLER(S)/GRANTDR(S) . _ _
Jennifer Beadles, Personal Representative
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
110 Pennsylvania Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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".
it
Sig ture e ler Signature of Seller
Jennifer Beadles, Personal Rep.
Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date 04M/00/YYYYI
'F.:BUYER(S)/GRANTEE(S) .APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY__ __ _ _,
Cheyenne Beadles
Buyer I-N'ame as appears on conveyance document Buyer 2-Name us appears on conveyance document
12, I S. 35-e2
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOA I,AP Y.
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ 2 4.Solar Energy Heatipg/tothllg%Ikm
residence,including county: ❑
( Z l y 5- 3 50 S.Wind Power Device
Address(Number and Street)
❑ 6. Hydroelectric Powe1Dev
9-2(. 70 6 r b5 C^ � . n. [Ue
o.b
4fn
City,State ZIP Code County ('jt
❑ El 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.
Not available in all counties.)
Address(Number and Street)
City,State ZIPCode County a(0-1\-∎5-3co-voo .tb -oag
Primary property owner contact name E-mail