Homestead_Ott (4)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
- -- — -
D:,P.REPARER� - - - — - - -
Steven L. Whitehead Attornev
Prepore� o(the Sales Disdosure Form Ti[!e
711 N. Hart Street
Address(Numberand5treet) Compony
Princeton IN 47670
E-mvil
., .—_'—' _ _. _"...... _ ..—_ __. _ _' ._ _ _-_'_-___ " _.._—___"_'
.:E:SELLER S'.GRANTOR'& �---- -- - ----------- ---- - ---=------ - �- - ---� -- � � = -` ----- -
R�iby J Ott dPraacwA
Sefler I- A'ame as appears on romrynnre dammenl Seller 1- Name as app¢ars om m�vryvnre doaumenf
5577 E State Road 64
Address (A'umberand Stree�) Address (Number and Stree[J
Francisco IN 47Fi49
Ciry, Smte, and7lPCade Ciry, Smte, ond ZIPCode
��,
E-mail Tele honeNumber E-mail
Under penalties of perjury, l hereby certify that [his Sales Disclosure, to the bes[ of my knowledge and belief, is true, corcect
and compl te as required �bj �law, and is prepared in accordance with IC 6-1.1-S.S, "Real Propert}' Sales Disclosure Act".
� �/�v ., �% C/Y � ;���: s� , ..� D'l
Sgna2re o/Seller � SignoNre o%Seller
v l L�% � <r �. ��t t-
RinredNameofSeller SianDate(wvD� PnnledNameo Seller SaODOt¢(HMND
� _'_ _._� " _ _ _ _ _ _ __ — _ ___-_ _ — _ __ —_ - — __ _ _ _.._. _ .
,Er�.B.UYER S��.GRiI\!TEE 5,��_APPCICAT�ION FOR.PROBERTY Tr1X'DEDUCTIONS-_1DENTIFY AL� ITEMS��T APBGY'_ _.�__
william C. ott �
Buyer 7- Nome as appeurs on rome}nnce documen� Buyer 2� Num¢ as aypears om m�veyvnce documenl
5577 E State Road 64 nl _. ' n,�
Addres(Nvmbermd5treet) Address�Numbe�ondStree[) CO NTy AUDI��
Francisco. IN 47649 ��gSON
Ciry.Smte, and LPCode Ciry, Sm(e, and Z1PCode h��
J!.
Tele honeNumber E-mail Tele honeNumber £-mail
TNESALESDISCLOSUREFOfNiMAYBEU5EDT0APPLYFORCfRTAI\UEDURIOYSFORTNISPROPE THOSETHATAPPLY.
YHS KO LONDRIO\ YO C09DITIOK
Q � 1. Will this property be the buyer's primary Q✓ ❑ 3. Homes[ead
residence? Provide complete address of primary , o ar •nergy eating/Cooling System
residence, including county:
� �✓ 5. Wind Power Device
Addres(Nvmberand5treef) ❑ ❑✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geothermal Energy Heating/Cooling Device
Ciry, Smre Z/FCade County
� �✓ 2. Does the buyer have a homes[ead in Indiana [o be � ❑`� 8� �s this property a residential rental property?
vacated for [his residence? If yes, provide ❑ ❑✓ 9. Would you like to receive tax sta[ements for this
mmpleTe address of residence being vacated, property via e-mail? (Provide contact information
including coun[y: 6elaw. Please see instructions for more information.
/� / Not available in all counaes.)
Addrec�(Numberand5treefJ '.J I „_ I ? _ I �_I �O _ �O, ��
U �� � 3- C�O�/
Ciry, Srate 2/PCode Counry
Pnmaryproperryownerronmc[nome . E-mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Secyyy ity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein Ig �J . � ��
�' �{�,�.�[
Signature Buyerl Signatureo(BUyer2/Spouse —
William C ntt
Num6er License/ID/OtherNumber