Homestead_VanvlietINDIANA SALES DISCLOSURE FORM SDF ID: ` Pa e 2
�D. PREPARER . . . . .,.. , - - � .- � ' -- �� >-r . � - — - - _ - - -
Jenny Mayer Searcher �
Prepare� of �he Soles Diidosure Form Title ,
226 W Broadway Broadway TiUe, Inc. I,
Address (h'umber and Stree[J
I� E�mail
�
E.SELLER S GRANTOR'S : ' _ . , . , _ :. �; .
- ,.
Barry Clevenger
Sellerl-Namearappearsonranvryanredotumen[ Seller2-A'ameasappearronronvryanredo�vment ��;
1258 Lookout Mountain Drive °
Address (Number and 5[rte:) Addass (A'um6er vnd Svee[J I�
Pnnceton, In 47670 ��
[
E-mail TAe honeNum6ei i E�mvil
Under penalties of perjury, I hereby certify tha[ [his Sales Disdosure, to the bes[ otmy knowledge and belief, is CTUe, correc[
and comple[e as req ired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disdosure Act".
� � � re. .�, S�, �
� Si nomreo Seller �
SignaNreo(Seller 9 % ,
Barry Ctevenger �2��� 1� �
Pnn:edh'amro(Sella Si nDore(HH D/YF PdnudNamro Seller SionDam NM D�
F;BU}'ERS GRANTEES�-APPLICATIONEOR�PROPERTYTAXDEDUCTIONS=.IDENTIFY�ALLITEMS=THATAPPLY.-.-1 ; __
Chrisiopher S. Vanvtiet
B ��er t� Nvme as appears on cam�e}�ance doaument Buycr d� Name ot appears on cmveyanm documen[ ] -
7204 S Prince Street �
Address (Numbrr and Stree�J Addrest (h'umber and Stree[)
Princeton, IN 47670 3
Ci.
c.vanvliet3535@gmail.com I Jr!
Tele honeh'umber E-muil Tele honeNumber n F-mail
THESALFSDISCLOSUHEFORMMAYBEUSlUTOAPPLYFORCERTAINDEUUCTIOYSFORTHISPROPERTY.IUHNTIFVALLOFTHOSET D8 I
cFS n�o CO\DITIO\ i�s no conoino� C�
�✓ ❑ 1.4Vill this property be the buyer's primary Q✓ ❑ 3. Homestead qVO�TOR
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, induding county: � � 5. Wind Po�ver Device �'�,I
1258 Lookout Mouniain Drive
Address(h'um6erand5rree[) ❑ ❑✓ 6. Hydroelectric Power Device ;
Pnnceton, IN 47670 Gibson � � y, Geothermal Energy Heating/Cooling Device
Ciry. Smte Z/P Cadr Counry
[� ❑ 2. Does the buyer have a homes[ead in Indiana ro be � 0 $� �s this property a residential rencal properry?
vaca[ed for this residence? If yes, provide ❑ ❑ 9� Would you like [o receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contoct information
induding county: 6elow. Please see fnstrucfions/'or more in/'ormation.
1204 S PT1nCe Street / Notavaila�b�leJ/'� allco�u(nties.) �{s ,� ?
AEdress(h'um6erand5treet) �j(p � // /��T(/O- (,/(JO' �/�l /�Dr/,� �
D * __'_� �� 7� Barty Clevenger �
Ciry.Smre ZIP Code Counry I
Pdmaryproperryownerronmaname � E-mail
i
Under penalties of perjury, I hereby certify [ha[ this Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disdosure Act". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduction is
bei ��eE1� �{� "
1 �
S�gnaa eofBuyeri SignamreofBuyer2/Spouse I
Christopher S. Vanvliet j%�- �� •�(i�s �
i
Lat[Sdrgita'ofBUyer2/SpouseDriver't Sm[e LastiDigitco/Sot'iol5ecurity
Llcense/ID/O[herNumber Num6er License/ID/0[herNumber ��,,�
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