Homestead_Delong (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Bryceann Cutsincter
Preparer of the Sales Disclosure Form Tide
226 W.Broadway St. 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.SELLER(S)/GRANTOR(Sl; '7-"--r-tf?.. Lc:: .7. •..., ,.'... , ::4 1,..-.. -;1*--;,-,_; ..-...•: .. -.-- .--- '...."-'w " '-''''. -••. T.1-1".;."--- •.-,-71- `-",j
Robin A Randell Jon E Handel!
Seller 6Name as appears an conveyance document Selig?-Name as appears on conveyance document
1329 Virgil Blvd 1329 Virgil Blvd
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
an om lete airequired by law,and is prepared in accordance with IC 6-1.14.5- "Real Property les Disclosure Act".
. 0 - G-' 74./nAi2J21 P
Signature of Seller Signature of Sell Seller
Robin A Randell\ . .----- -- . __ • 7-if /er" Jon E Randell
Printed Name of Seller Sian Date(M.V00/ITYY) Printed Name of Seller Sian Date(1.1.11/DDIYYYY)
F.BUYER(S)/GRANTEE(S).7. APP.LICATION'FOR PkOPERTY.-.T-AKDEDUCTIONS--.71DENTIFCALLITEMS1'HAT.APP.LY•:_
Josiah L. Delon
Buyer)-Name as appears on conveyance document Buyer?-Name as appears on conveyance docume .
701 S.Prince St.
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM. MY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR 71115 PROPERTY.IDENTIFY ALL OF THOSE THAT,n3
YES NO CONDITION YES NO CONDITION &A,
'w h,
(71 0 1.Will this property be the buyer's primary VI 9 3.Homestead '400,t
residence? Provide complete address of primary 9 Z 4.Solar Energy Heating/Cooling Syster4
residence,including county:
9 NI S.Wind Power Device
1329 Virgil Blvd
Address(Number and Street) 9 [ 1 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson 9 Ei 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 ig 8.Is this property a residential rental property?
9 Z 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 9 WI 9.1,Vould 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)
031‘-71 7(r• /03-o00. ,F0c0- O072
City,State ZIP Code County
-
Primary property owner contact name E-mail