Homestead_Trotter INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Brvceann Cutsinoer
Preparer of the Soles Disclosure Form Title
' 226 W. Broadway St. Broadway Title. Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 • bryceann.bti(Wmw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E SELLER(S)/GRANTOR(S) .
Leslie Martin f/kia I eslie Brooks
Seller I-Name as appears on conveyance document • Seller 2-Name as appears on conveyance document
10252 S Quail Crossing
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 mplete as required by law,and is prepared in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act".
Signature of Seller / Signature of Seller
I PNie Martin flk)a 1 eslie Brooks l a 1 ' '�.
Printed Name of Seller Sian Dote(. M D Foaled Name of Seller a i 1 Si� [e l; I
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THA
seoh E.Trotted Patricia L.Trotter
pars on com•eyance document Buyer 2-Name as appears on conveyance documentAPR 2 7 2017
6769 W. Stonebend Dr. _ 6769 W Stonebend Dr. 4
Address(Number and Street) Address(Number and Street)
Owensville,
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 ❑ 3. Homes
residence? Provide complete address of primary ❑ (,<J 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ,
10252 S Quail Crossing 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, IN 47639 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.
6769 W. Stonebend Dr. Not available in all counties.)
Address(Number and Street)
Owensville. IN 47665 Gibson ac _it- 3 6- 3 00 - 0 O A. 047 _U A y
City.State ZIPCode County I
Pnmary property owner contact name E-mail