Homestead_Gadberry INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Bryceann Cutsincier
Preparer of the Sales Disclosure Form Title
226 W. Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton,IN 47670 812-386-1687 samantha.btiemw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) - - - -
Matthew D Humohrey
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
516 W State St
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller 'j/�% Signature of Seller
Matthew D Humohrey 2 3 -/b
Printed Name of Seller Sign Date(M.M/DD/rvrv] Printed Name of Seller Sian Date IMM/DD/YYYY)
F.BU 'i'• APPLICATION FOR PROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY'
'en'amin •.belt
• t• e as appears on conveyance document Buyer 2-Name as appears on conveyance document P\
4pAddress(Number and Street) Address(Number and Street)
TH,1
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE l8
YES NO CONDITION ES NO CONDITION\ COURT
1.Will this property be the buyer's primary 0 ❑ 3.Homestead Y
0 ❑ "km
residence? Provide complete address of prima nergy Heating/Cooling System /TOR
residence,including county: ❑
S.Wind Power Device
516 W State St
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton,IN 47670 ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP lode County
111 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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.
Not available in all counties.)
Address(Number and Sheet) O ;J
City,State ZIP Code County
Primary property owner contact name E-mail