Homestead_DebordI
INDIANA SALES DISCLOSURE FORM SOP ID: Page 2
D.PREPARER
Brvceann Cutsinoer
Preparer of the Sales Disclosure Form Title
226 W. Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton. IN 47670 812-386-1687 btiOmw.twcbc.com
City.State,and ZIP Code Telephone Number Email
E.SELLER(S)/GRANTOR(S)
Robert D Young Karen J Sublett f&(a Karen J Young
Seller I'Name as appears on conveyance document Seller 1-Name as appears on conveyance document
100 Hillwood Dr /do 44%/441vend Fir"
Address(Number and Street) Address(Number and Street) y r,
Under penalties of 8 erjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and omplete a.ysI__equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S;nature of Seller / 9 Signature of er
Robert D Young 9 -Z - 74 Karen J Sublett f/k/a Karen J Young 9— Z—/4
PrUYER(S)/G Seller Sign Date
OPERTY TAX Printed g 1 00/YVD)•F.BUYER(S)/GRANTEE(S)-APPLICATION.FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE _(71I(pT PPL •
/Kyle A.Debord ) Heather R.Debord
(—Kyle
buyers-amnearappears on conveyance document Buyer 2-Name as appears on conveyance document
401 E. Locust St. 401 E. Locust St. SEP 6 2016
Address(Number and Street) Address(Number and Street)
Ft.Branch, IN 47648 t Bran h IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary (I[I 4.Solar-Energy Heating/Cooling System
residence,including county: ❑
1353 S Metro St 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton.IN 47670 ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 ❑ 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 ❑ 0 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: C. • • -. - --- - - • er more information.
401 E.Locust St. Not available in all counties.)
Address(Number and Street)
Ft.Branch. IN 47648 Gibson .Z 4, - I I •1-3 - 300 - 003 . 55, ? -0A2
City.State ZIPCode County
-.114,,,,prvprrty owner contact name - C unit