Homestead_Gillespie INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Bryceann Cutsincier
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 E-mail
E., ELGEF4s1/GRAN TORIS)17.1.— '. :..-.-:C7 r..e1 c:..-Jr_-..;jyt I.: ,-,7';r.; :,li 1.-i; ....:275::, 7.a.:'l'.??....1-9;1.- .t";.'7 1,....-fg., If.C.:1;7:it'-, 7 CYlri:
Judith Lynn Donaldson Stock
Seller I-Name as appears on conveyance document Seller 1,Name as appears on conveyance document
529 W SR 68
Address(Number and Street) Address(Number and Street)
aii■
Un• penalties of pe jury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
plete as re iv /
sj red by I. v prepay'and is prepai in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
.
, at/.ar AI Ain..., , atze; At:
Signature of Seller Signature of Seller
Judith Lynn Donaldson Stock /, —, --i
Printed Name of Seller Sian Date(.114DEVYY141 Printed Name of Seller Sian Date(MM/00/Y in)
F:BUYERM/GRANTEE(S)- -APPLICATIONTORTROPERT,Y.TAXDEDUCTIONS=i,IDENTIFY ALL ITEMS:CHAT-AP,PLY 1.2.4-r 7 1_..T.Z__7'
John A.Gillespie
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
3028 E. SR 68
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT Ans-4, '- •
co y
YES NO CONDITION I YES NO CONDITION 441/ 'ett,
VI EI 1.Will this property be the buyer's primary g 0 3.Homestead 40
residence? Provide complete address of primary a
9 g 4.Solar Energy Heating/Cooling System /7'0
residence,including county:
9 g 5.Wind Power Device
529 W SR 68
Address(Number and Street) 9 g 6.Hydroelectric Power Device
Haubstadt,IN 47639 Gibson 9 g 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
0 _i 8.Is this property a residential rental property?
9 0 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide D ji) 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,gfuntieSj
Address(Number and Street)
A -/f- ..3‘- 03- ca). 072- co?
City,State ZIP Code County
Primary property owner contact name E-mail