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INDIANA SALES DISCLOSURE FORM SDF ID:
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tD.,BREFARER? ,`}---. -�.- .: . . .."-s. - •'z- "4. ' -.. : ,- - �' --.
Jerry D.Stilwell Attorney at Law
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Preparer of the Sales Disclosure Form Tide
302 N. Prince Street Bamberger,Foreman, Oswald 8 Hahn, LLP
Address(Number and Street) Company
Princeton, IN 47670 812-386-6482
City,State,and ZIP Code Telephone Number E-mail
jSELEER(S)%GR'AN.TOR(Sj --- 7 - - ,- -- _._.__. _57_r- __
Mitchell L Williams Angelia Watson
Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
731 Alfrell Street 731 Alfrell Street
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 complet as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act",
ig dam•% 4/-efiter"i.° Lid
Signature of Seller Signatu (Seller
MITCHFLL L.WII LIAMS ANGELIA WATSON
Printed Name ofSeller Sign Date(A04/DD/Y1111 Printed Name of Seller o0/Y)TY)
_E.=BUYER(S)/GGRRAAN:EMS)ZAPP,LIGATION,FOR?PROP,ERT(Yi_TAR WEDUC-TIONS=IOENTi ACL,ITEM1iS'ArA PL i "1i1 11;
Brian Bobbitt Crystal Bobbitt
Buyer -Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 26 2017
719 Alfrell Street 719 Alfrell Street
•Address(Number and Sweet) Address(Number and Street)
Oakland City, IN 47660
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
0 ❑ 1.Will this property be the buyer's primary f}- 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0 5.Wind Power Device
Address(Number and Sheet) ❑ 0 6. Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
❑ 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) 42-11-1--)q /'/�
• City State ZIP Code County —10)-QC9e5/0 —CO
Primary property owner contact name E-mail