Homestead_Scales (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Britany N Barnes Title Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadyway Title, Inc. FILED
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britany.bti@mw.twcbc.com
City,State.and ZIP Code Telephone Number
JUN 3 0 2016 E-mail
E.SELLER(S)/GRANTOR(S) , . ' -t. - -. -,-.'‘ .•!- ;;--,,:.
Jo Ann Davis-Fitch al 9A4 /90106
Seller I-Name as appears on conveyance document Seller 2'Nome as appears on conveyanGtBSON COUNTY AUDITOR
1.94-E-efre-13-- 4p4- a 0 i 0)a4elr -L.
Address(Number and Strict) Address(Number and Street)
Princeton, IN 47670
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 requt,' ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
...4./v1-A-• / 4(1-
Signa • of Seller Signature of Seller
Jo An avis-Fitch
Printed Nome of Seller Sian Date(MD1/00/MT) Printed Name of Seller Sian Date(MDOWYWY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALUITEMSTHAT AppLy_
Carla D. Scales Justin R. Scales
Buyer I-Name as appears on conveyance document Btxr 3:Name as appears on conveyance document
1 g 4 E a oo ,s- . tit'v E
Address(Number and Speed Address(Number and Street)
pyiknc-
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
12 o 1.Will this property be the buyer's primary 12 0 3.Homestead
residence? Provide complete address of primary 0 2 4.Solar Energy Heating/Cooling System
residence,including county:
'1947 E 200 S o p 5.Wind Power Device
Address(Number and Street) o 12 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson
111 C2 7.Geothermal Energy Heating/Cooling Device
10,,State ZIP Code County
El
0 2 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 p 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including co nty: below.Please see instructions for more information.
.0, , ) _ , /I -, Not available in all counties.)
Address fNumper nd Stryet)C 447, ---risri a• .
01Ct 1<I Cita / in WO 6/6' ■2(0 .- 1 cp - 1 cl -467) -()nip. `Al- 001:7
City,State ZIP Code County
Primaty property owner contact name E-mail _