Homestead_Morgan (7) INDIANA SALES DISCLOSURE FORM - SDF ID: Page 2
I MEPARER, - -: -• ,7-.
Britany Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) . - -
Jan Urbanek -
Selle r I-Name as appears on conveyance document q Seller 1-Name as appears on conveyance document
327E 775 S %O3 2f'J /4 i 2 //-�
Address(Number and Street) Address(Number and Street)
Ft. Branch, IN 47648
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp required by w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signatu,.y er Signature of Seller
Jan Urbanek
Printed Name o;Seller Sion Date(MM/a0/Mn) Printed Name of Seller Sian,Date(.vN/OUMm)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS PPLY'- - -
•
Mark A. Morgan Susan L. Morgan _
Buyer I-Name as appears on conveyance document Buyer 2'Name as appears on conveyance documenl )
6230 Hatchett Mill Rd 6230 Hatchett Mill Rd -
Address(Number and Street) Address(Number and Street) 4 a
Spottsville,KY 42458 Spottsville, KY 42458 2¢ ZD/?
Y SALES DISCLOSUREFORAI MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS ROPERNO IDECONOITI L OF THOSE THAT APP I. gU011.
,i
Q El 1.Will this property be the buyer's primary Q ❑ 3.Homestead
residence? Provide complete address of primary ❑ IN 4.Solar Energy Heating/Cooling System
residence, including county: ❑
327 E 795 S 5.Wind Power Device
Address(Number and Street) ❑ 12 6.Hydroelectric Power Device
Ft Branch, IN 47648 Gibson ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ tg 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 ❑ 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)
A-49-0.-c904-CO I. 3071-06
City,State ZIP Code County
Primary property owner contact name E-mail