Homestead_Landers INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DPPREP,ARER• ;:. ---- _. _. .r, r,..-_ — - -t,
Kiri D. Maguire
Preparer of the Sales Disclosure Form Tide
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 (812)386-1687 bfemw.twcbc.com
City,State,and ZIP Code Telephone Number Email
E:SEI10ER(S)/GRANTOR(S), ;_ . f..±. -__-->P? x_..._.1 _2..--•`•__.../Lt_- -.>_ _..,11 _" - --.i7
-- .
Larry A Matthews Christina J Matthews
Seller I-Name as appears on conveyance document Seller 1-Name as appears an conveyance document
525 S Hall Street 525 S Hall Street
Address(Number and Street) Address(Number and Street)
Under pe alties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co .•.lete,as equiped by J$w,yii is prepared in accordance with 6-1.1-5.5,"Real Prope Sales Disclosure Act".
• i
i' ��. ! �...iin 4 Al in�ti.'
--Ynatuty eller / / /Lf, /�1J,, Signatu e•f Seller - /
Iarry A Matthews -
V 1/alA�.( 0�rIlf V/ ChnstinaJ M(11(y)i F F () rL � DSO
Printed Romeo/Seller Sia Date(MM%0D/YlYtt Printed NamccppP� Ber ears Dare W.V/aD/YYYYJ
F.BUYER(S)/GRANTEE(S) _APPLIGATIONiEOB ROPERTYJAXIDEDUCTIONSLIbEt 'f - �� ,..-
_ddyo -
Kellie L. Landers yy
Buyerl-Name as appears on conveyance document Buyer 2-Name as appears oncod • • cldo2 Utb
213 S.Fifth Street '�4 —./ Auditor
Address(Number and Sleet) Address(Nu >f�"• tr-• "' . G'..on . city
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF OSE THAT APPLY.
YES NO CONDITION I a NO CONDITION
Q ❑ 1.Will this property be the buyer's primary j7j ❑ 3. Homestead
residence? Provide complete address of primary • t".4 4.Solar Energy Heating/Cooling System
blot 3 (, residence'including county: ❑ IN 5.Wind Power Device
ess(Number and5meet) 5n-��- ❑ ❑ 6.Hydroelectric Power Device
I nC- °ton I cy1' I+1 Le(0 (5/.-w,l ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
❑ Q 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 ❑ g 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.
Q Not available in all counties.)
Address(Number and Street) _ ) (—I3 /r\7_? o3-O be. 7�.-0
City,State ZIP Code County C7C -�J ...)LaL,� l/ ll
Primary property owner contact name E-mail