Homestead_RavelletteINDIANASALES DISCLOSUREFORM SDFID:
D.PREPARER ' '
Britany Barnes
P�epareraf[he Sales D'udo.rvrc Form
226 W Broadway
Addras (NUmber and Streel)
Princeton,IN 47670
Ciry. Sm[e. and ZIPCode
Gladys M. Mitchell
Seller ]� Name as appears om m�veyanre dxumm[
203 E. Clark St.
Addrns (Number ond Svee[)
Princeton,IN 47670
Ciry, Smte, md ZIPCode
�
Searcher
rltle
Broadway Title, Inc
Seller 2- Nome as appears on conveyanre documen[
Addrezs (Number and5tree[)
Ciry.
E-mail
Under penal[ies of perjury, I hereby certify [ha[ [his Sales Disclosure, [o [he bes[ of my knowledge and belief, is [rue, correct
and comple[e as required by law, and is prepared in atcordance with IC 6-1.1-5.5, "Real Property Sales Disclosiire Act".
Q� � �
Lkec� �,�o/
SignamreoJSt r SignuNreo(Seller I
GL n-e � r M I'S t� F+ � ��— !� �/�/ i�� in �r �r �.—�
-APPLICATION FOR
Yvonne J. Ravellette
Sbeet)
CTIONS- I DENTI FY ALL
Buyerd � Name asappearson ronv
Addres (A'vmber and StreeQ
Ciry.Smte. andZlPCode
TME SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.Y UEDURIOYS FOR THIS PROPER7Y. IUENTIFY ALL OF TNOSE TMAT APPLI'.
YFS \0 COYDITION
0✓ ❑ 1. Will [his proper[y be the buyer's primary /
residence? Provide complete address of primaryl
residence, including county:
203 E. Clark St.
Add�ecs (Numbrr and StreetJ
Princeton,IN 47670
Ciry. Smce ZIP Cod< Caunry
❑ ❑ 2. Does the buyer have a homestead in Indiana [o be
vacated for this residence? If yes, provide
complete address of residence being vaca[ed,
including county:
AdCress (NUmber ond S�reeq
co��ry
❑✓ ❑ 3. Homestead
✓ 4. Solar Energy Hea[ing/Cooling Sys � m
❑ 0 S. Wind Power Device
❑ Q✓ 6. Hydroelec[ric Power Device
❑ �✓ 7. Geothermal Energy Heating/Coolmg Device
i
❑ � 8. Is this property a residential renial property?
❑ �✓ 9. Would you like to receive tax s[atements for this
property via e-mail? (Provide contqcC in%rmation
below. Please see instrucnons for more information.
Not availa6le in all counfies.) I
.b7_C�D/�OD/. $lY !O1
E-mal/
2
Under penaltles of perjury, 1 hereby certify tha[ this Sales Disdosure, [o [he bes[ of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homes[ead Deduc[ion is
being filed.) �� � � � I
LastSdigitso(Buyer2/SpouseDriver's Smre Las[SOr�icso(SotialSecurity
Number Lirente/10/OtherNumber