Homestead_Stone (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page Z
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15/PREPAR R9-r:y' - 4. • , _:•'_ `. : c_t x b$ .I2:;. i
Preparer o�ales Disclosure rr? ^ /_ S / _ to 1 Title 2� _ ^ ^ryi
Addres(N rl`aand Street) �,`�'�,,^, JT �[/~J Company/CL�'`�� `�/'-'��1/1/I /..(�J
G v�4�11 4 70g (_80)45IYono
Ciry.State,and ZIP Code Telephone Number E-mail
E.SELLER(S)'jGRANTOR(S]S..r- e :i-t _'_ ;s,._ :c r'A •r
- pit i. _wd-+rtu... .- .._�rin.._. �-]- fa.rTl..� �i4:2s-nw1-M14_.-2 .-..G-1
RFGINA GAIL SMITH
Seller Name as appears on convrnpce docµrglgt7nta_ ,,51 - /-k?'a s f Seller 2-Name as appears on conveyance document
Addres7l;NV\ut�old freer) lT, ��, /Yr` (� ,�Ir�V 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 teglplete as requir d b law,artil is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ignature of ter Signature of Seller
REGINA GAIL SMITH 05/11/2016
Printed Name of Seller Sian Date(MM/DD/VYYY) Printed Name of Seller Sian Date(MM/DO/Y lfI
F.;BUYER(S)/GRANTEE(S)`-APPLICATION:F.OR-PROPERTY TAXDEDUCTIONS_=;IDENTIFY'ALL:.ITEMSTHAT:APPL-Y __- . _ _.
BRADLEY W STONE
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
12 FINCH LN _
Address(Number and Street) Address(Number and Street)
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 CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary [r ❑ 3. Homestead
residence? Provide complete address of primary ❑
d4.Solar Ener e ii I Co g 1:m
S r Idenc din unlcir. ( i❑ S.Wind Pol. D�Y
Address( berandtre T/ ( 7 ❑ Z 6. Hydroelectric P r g,�vN it\ ❑ 2
7.Geothermal Energy ItelinggOoling Device
City,State ZIP Code County
❑ 2/ 2. Does the buyer have a homestead in Indiana to be ❑ Is this property reside tia e property?
vacated for this residence? If yes,provide ❑ LJ 9.Would NS statements for this
complete address of residence being vacated, property via e-maii . rrrovit}df@hT62€information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
City,State ZIP Code County 62(041-12-301 -tool .62(041-12-301 -tool . lot 8-City,
Primary property owner contact name E-mail