Homestead_Odell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARERY.. .;21:1x•j.l...-7-.72Tri., -7'-alar-5:71..n":"':r -igi,7'
Bryceann Cutsinoer
Preparer of the Soles Disclosure Form Title
226 W.Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton,IN 47670 812-386-1687 btimw.twcbc.com
City.State,and ZIP Code Telephone Number E-mail
. E.SELLER(S)/GRANTOR(S) .•::: . . _ .' ?.::1 7 , --P-.•7:I''' 01' rin-.-T---‘2.,1z.cf!h"5.:-'1"."2-1. '_#: 4:1s..-42rI)2,17.C-2,7111;:if--i;
Danny Wayne Newlin Aleah A Newlin
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
203 W Vine St 203 W Vine St
Address(Number and Street) Address(Number and Street)
Patoka IN 47666 Patoka IN 47666
Under penalties of perjury,thereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Prop rty Sales Disclosure Act".
20fivAlk to• si, Ylit,t
Signature of seller 4g entre of Seller
Danny Wayne Newlin 1/-)3- I‘ Aleah A Newlin / 1 -a 3 - /0
Printed Name of Seller Sign Date(OWIWYVYY) Printed Name of Seller Sign Date(ISI/00/YYYY)
F:BUYEa(SVGRANTEE(S):; PPLIC.ATION.EOR:PROP,ERIVIvAX:DEDUETIONS2721DENTIFFUTMI
i S,T
-1 El
Tammy A.O'Dell
Buyer)-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
O'Dell Dr. NOV 2 3 2016
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 APPLY.
YES NO CONDITION YES NO CONDITION
izi 0 1.Will this property be the buyer's primary • • 3.Homestead
residence? Provide complete address of primary D z 4.Solar Energy Heating/Cooling System
residence,including county:
9 z S.Wind Power Device
203 W Vine St
Address(Number and Street) 111 Z 6.Hydroelectric Power Device
Patoka, IN 47666 Gibson 9 p 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade County
8s this property a residential rental property?
9 0 2.Does the buyer have a homestead in Indiana to be D .1
vacated for this residence? If yes,provide 0 17 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) do- o tia(i-.3D44-oce) /Ss -()&D
City,State ZIPCode County
Primary property owner contact name E-mail