Homestead_Akers (2) 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.bti(&mw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLERQ/GRANTOR(S)
Ora E Martin Lori A Marlin
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2581 W.Jill Dr. — 2581 W Jill Dr
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of perjury, I here certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and com e e as require y d is prepared in accordance with IC X�1..�1.5.5,"Real Prope les Disclosure Act".
Signature of Seller - tare of Seller
Ora E Martin "-��/ J on A Martin / jp
Printed Name of Seller Sian Date(MM/DD/YYYn Printed Name of Seller SSan Date(MM/DD/YI'YY)
F.BUYER S GRANTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE Le : •PL _
ichael G.Akers _ — ,MIS-��i
pears on conveyance document Buyer?-Name as appears on conveyane '• m =
505 S.Stout St.
Address(Number and Street) Address(Number and Street) MAY 18 2016
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION DYES J'O CONDI1ION
0 ❑ 1.Will this property be the buyer's primary / ❑ 3.Homestead
residence? Provide complete address of primary \ ❑ ❑i 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
2581 W.Jill Dr.
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 1 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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: + •• ' -• - - or more information.
Not available in all counties.)
Address(Number and Street)
4' '1I — 15 — 10 r-00db .00 4_vx7
City,State ZIP Code County
"--u4lary4202aW vowner contact name -mail