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Homestead_Bennington
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 -DtPREPARER . _ j'a'_.�- .- -. .-:` _.S/.> r F- }__ :-:::i,fF.Vii. Bryceann Cutsineer Preparer of the Sales Disclosure Form Title 226 W. Broadway St. Broadway Title, Inc. Address(Number and Street) Company Princeton. IN 47670 812-386-1687 bryceann.bli(@mw.twcbacom City,State,and ZIP Code Telephone Number E-mail -E:SELLER(S)/GRANTOR(S)'.:.'. .' .. . —. . - . • - • - . - . - • . C Darvin Stilwell Jerry D Stilwell Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1533 Houston Rd 2168 W Columbia Est Address(Number and Street) Address(Number and Street) Boonville IN 47601 Princeton IN 47670 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my nowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with 6-1.1- .5,"Re.. Property Sales Disclosure Act". Q -14 A 'r Signature of Seller / r(� r of Seller •.a.F '1, - C—t(j�l c—� D`'� - - l r Printed,Name of Seller Sian Date(.N.M/DD Printed Name of Seller a� is t NH/DD/YrvYJ F.-BUYER(S)/GRANTEE(5)'_APPLICATION FORPROPERTY TAX DEDUCTIONS:IDENTIFY ALL ITF'I�Af AP Franklin Louis Bennington Sandra K. Bennington YYY Buyer I•Name as appears on conveyance document Buyer 2-Name as appears an conveyance documen 10804 E. 125 S. 10804 E. 125 S. APR 1 a 2os7 ''-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 I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ Ig 822 N Polk Dr 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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) 61LIHg City,State ZIP Code County —;Di —W oss—0°) Primary property owner contact name E-mail •