Homestead_Carr INDIANA SALES DISCLOSURE FORM SOF ID: Page 2
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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.bti(Wmw.twcbc.com
City.State,and ZIP Code Telephone Number E-mail
.E.SELLER(ST/GRANTOR(S): ..7_ . - S7_ 17,..C. '41::
Adam Frantz
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
730 Village Square
Address(Number and Street) Address(Number and Street)
Flherfeld IN'47611
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete as required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Adam Frantz 654.2/2 6 i C
Printed Name of Seller Sian Date(14M/00/111T) Printed Name of Seller Sian Date(MM/00/YYM
F.BUYER(S)/GRANTEE(S) .-APPLICATION FOR PROPERTYJAX'DEDUC-TIONSI:IDENTIFYALLITEMS:THAVAPP.LY..-.: 1.1.-: ', L
Justin A Carr Bavlee J.Wilkison
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document JJ
10031 E.450 S. 10031 E.450 S.
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland City, IN 47660 414 Y .
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APFILCO,.
CjAty
YES NO CONDITION YES NO CONDITION 1°0/7.
0 0 1.Will this property be the buyer's primary 0 0 3.Homestead '0,?
residence? Provide complete address of primary 0 110 4.Solar Energy Heating/Cooling System
residence,including county:
9 n 5.Wind Power Device
5008 S Lincoln St
ethfrocc(Number and Street) 0 17 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson 0 Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 ig
D IZ 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 9 1171 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 Street) d‘_ o-Oil-do. az). of*. - S
City.State ZIP Code County
Primary property owner contact name E-mail