Homestead_Thomas (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _ - - _ .. -
Leon C. Stone President
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
City,State and ZIP Code Telephone Number Email
E.SELLERS)/GRANTOR(S) , Li - -
Kristopher North lennifer North
Seller I-Name as appears on conveyance document Seller 2-Napmgsappears on c nnveyanc'e docpment� n ,
C??qt W STo1J£h£CD D.2. • (p7'/7/ro( W. t_V1'y_e-bead U .
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
and complete as • .aired by ��w,a • ' ,eel in accordance IC 6-1.1- "Real Property SaDisclosure Act".
r / ./lIa' x`76 1
Si.... - Si: •tyre of Seller
-1 stooher North g �,3--/(P -.l - ••u ! I i ' ��'����{{{- _I r
Printed Name of Seller Sign Date(MM/DD/YYYt) Printed Name of Seller I + t• )•D/YYYI)
F.BUYER(S)/GRANTEE(S)'APPLICATION'FORPROPERTY TAX-DEDUCTIONS-.IDENTIFY ALL ITE THt`1T-4PPL31 _
Harold E.Thomas Erin Thomas , , P 2 ZQib
Buyen—nmme as ap ears on conveyance document Buyer 2-Name as appears on conveyance dozy
401 North First Street 401 North First Street
Address(Number and Street) Address(Number and Street) -/I
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION DLCLQN
❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary -- �•Solar nergy Heating/Cooling System
residence,including county: ❑ ❑
S.Wind Power Device
401 North First Street
Address(Number and Street) ❑ 2 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade 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: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
'- 8 °
( - / - e • ,3oo - 0o0 .3Vat -o,t,l _
City,State ZIP Code County
Primary property owner contact name E-mail