Homestead_Higginbotham (3):
I,�'D1A\A SALES DISCLOSURE FORJI
SDF ID
,
SDOID 477793
I'�
Page 2
D. PREPARGR- . '-, � .;_ : . .- _ . - . .-,- _ . . . _ _ _ _ . _ . - _
Kimberty A Lewis Office Manager
Preyvrero/theSclesOisdosureForm Title
226 W. Broadvray Broadway Title, Inc.
AdJrm/Num6eronESUen) Camyany
Princeton, IN 47670-
E.SELLER S GRANTOR S � ` � �
Nathan R. Rich Lindsey R. Rich
Srl/er 1- Name us appevrs on �vnvcymre do�'umen� Srller2 � Nvme as appeors om m�ummce dooumen[
6050 W. Sialheim Ave. 6050 W. Stalheim Ave.
Addrm (Num6er and5veet] ACdras (NUmber ond Saee[)
Owensville, IN 47665 � Owensville, IN 47665
liry, Smte and Z/P fode Ciry, Smtc, nndl/P Code
a,
E-mail
Under penalties o(perjury, 1 hereby certify [ha[ this Sales Disclosure, [o [he best of my knowledge and belief, is true, correct
a mp ete as required �b`'�� w, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC.
��!E%/,�l ��l,c(o-��l � f'l�r/�
Si namreof_ ler Signvmrzaf5cller
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. UYERS�GRANTEES�.-AP -�ATION�FORPROPERTYT iT10NS-.IDENTIEYALLI-� ���THATAPPIY
Daniel J. Higginbotham Stacey Higginbotham
Buyerl�A'omeacopprnrsonrnnveyanred .en: a�er?-Nameosapyeorsmmnvnvnc menf
40 ou i� ge r.
dddress (Number and5veet) Addros (,YUmber ondStreeo)
Newburgh, IN 47630- Newburgh, IN 47630-
�City, Smte, and ZIPCade Ciry, Smte. and Z/P Cade
5-nmil
THE SALES DISCLONRE FOR]i MAY BE USED TO APPLY FOR CERTAIN �EDORIONS FOR THIS PROPERTY. IDENTIPS' ALL OF TNOSE THAT APPLY.
YES NO CONDRION YFS - NO CONDIT109
Q � 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead
residence? Provide complete address of primary gy Heating/Cooling System
residence, including county:
6050 W. STALHEIM AVE. ❑ Q 5. Wind Power Device
AAdress/NUm,6erandSUee[) ❑ Q 6. Hydroelectric Power Device
Owensville, IN 47665 NOT APPLICABLE � � 7. Geothermal Energy Heating/Cooling Device
Ciry, Smn ZIPCoCe Counry
X� � 2. Does [he buyer have a homestead in Indiana to be � 0 8� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9. 4Vould you Iike to receive [ax s[a[emenis for [his
complete address of residence being vacated, propercy via e-mail? (Provide conmct informadon
indud ing rounty: below. Please see instrucpons for more in(ormation.
4088 COUNTRY RIDGE DR. Not available in all countles.)
Address (Kvm6er ar.d Svret)
Newburgh, IN 47630 WARRICK �� �// �. / �i �, � � �C� og'%/
Ciry, Sm¢ ZIP CMe Covnry
Primarypmpe�ryownerconmatnume E-mall
Under penalties of perjury, l hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, cortect
and complere as required by law, and is prepared in accordance with IC 6-1.1-5.5,'Real Property Sales Disclosure Act". [Note:
Spouse informatlon, Social Security and Driver's License/O[her numhers are not necessary if no Homes[ead Deductlon is
being ed.) � �
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FnntedLegalNameo(Buyu] SiynDa¢�HM/ODM�'✓1 PnntedLega ameofB'� /Spouse SignDa[e(Mx/DD/Yt'1'1'i
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Lastidigitto%Buyer2/SpauseDnver's Smte LastSDigitso�Sacicl5ecunty
Lirense/!D/O[herNumber Number Licenre/ID/OrherNUmbe�