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Homestead_Banks INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1801245 Page 2 D.PREPARER .-Patti Kolb Closing Manager Prepare,-of the Sales Disclosure Form Title 226 W Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 patti.bti@mw.twcbc.com lay,State,and ZIPCode Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - - , -• Ronnie Williams Catherine Nhlliams Seller 1-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 10510E125S 10510E125S Address(Number and Street) Address(Number and Street) Oakland City.IN 47660- Oakland City,IN 47660- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct aniplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / of Sel ler g orate of Seller i c i r)A-2 y i 9 „�. >/,l,(/1,A S /// -27 7 1/ -A+ erint LAD I. II ; 14rns /o-? 7 - IV /a•rr4Nr"e"rcene. einnnrmn•e•gm/rwn- PAr0 ad1'm-rent440rr vin.nrrnvaunt.inn) F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ,ALL ITEMS•THAT APPLY _ . i Jeffrey S Banks _ Mandi S Banks Buyer I-Name as appears on conveyance document Buyer:.Name as appears on mnvelanre document 444 S Jackson St 444 S Jackson St Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Oakland City,IN 47660- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.4. YES NO CONDITION I YES NO CONDITION Et © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead 0CI. residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling Syst2 residence,including county: 20/4 444 S JACKSON ST. ❑ © 5.Wind Power Device e T Addres.(Number and Street) ❑ ❑ 6.Hydroelectric Power Oakland City,IN 47660 GIBSON ti !'• ❑ © 7.Geothermal Energy Heats •/Sobii vice City,State ZIPCode County ❑ fl 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a reside .1 rental pr @?rOpt vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to e'1. -. statements for tins complete address of residence being vacated, property vi-le-I, • I'• o•ide contact information including county: below.Plea I,S 4'nstructions for more information. Not available '- all counties.) Address(Number and Street) dG-/V-/Q 016/- doa3-03 2 City,State ZIP Code County Primary property owner contact name E-mail