Homestead_Hofman • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
.D..PREPARER- -. _•.. - -- - -- - --.. -•Jerry D.Stilwell Attorney at Law
Preparer of the Sales Disclosure Form Title
302 N.Prince Street Bamberger,Foreman,Oswald 8 Hahn,LLP
Address(Number and Street) Company
Princeton,IN 47670 812-386-6482
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) - '- • '
Richard A.Jones
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
P.0.Box 106
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
Under penalties of t • ju •, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an pa l a as i . ed t aw,and i -Prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
d ,.,...
Signature of Seller v/ l
//y6
/ Signature of Seller
Richard A.Jones _
Printed Name of Seller Si, Date(M.101) Y) Printed Name of Seller Sian Date(MM/DD/nn)
F.BUYER(S)/GRANTEE(S)-'APPLICATION:FOR PROP'RTY_TAX.DEDUCTIONS-:IDENTIFY A>PEIS HATED _ _-__.-
Raymond Philip Holman Cynthia Sue Holman
Buyer I-Nome as appears on conveyance document Buyer 2'Name as appears on conveyance document
1051N100W 1051N100W DEC a 2019
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION . ES NO CONDITION
❑ 1.Will this property be the buyer's primary I g ]. 3.Homestead
residence? Provide complete address of primary II zi 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
e106 S W A.(-LOW F/e:L O Da-
Address
(Number and Street) ❑ 0 6.Hydroelectric Power Device
/P A ima c re ti, ,. 'i 9 /0 70 6 i BSo.✓ ❑ Fl 7.Geothermal Energy Heating/Cooling Device
City,Stare ZIP Code County
0 ❑ 2.Does the buyer have a homestead in Indiana to be 171 0 8.Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ Fl 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.
1051 N 100 W Not available in all counties.)
Address(Number and Street)
1� p
Princeton,IN 47670 Gibson a e-/3_0e'-a03-coo -'30
City,State ZIP Code County
Primary property owner contact name E-mail