Homestead_Green (6) •
INDIANA SALES DISCLOSURE FORM SDF ID: Page:
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Charles L.Triplett Attorney
Prepares of the Saks Disclosure Form Title
711 Highlander Point Dr.
Address(Number and Street) Company
Floyds Knobs, IN 47119 812-949-4888
City,State,and ZIP Code Telephone Number E-mail
s.�
E'SELLER($)/GRANTORS) :V7F : r/?-'`e-'i;j.-,:rte t n.: a# ,t ., ret. *'��. :.fir <'?,r- , +.. -_¢ 7s'r3.Cr~?
James Chapel's'
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
737 E. State Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under pen.hies of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and coin 1 ete3s required-b�aw,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
I
Sic -of�r _ Signature of Seller
J aaChappelle 05/11/2017
Pruned Name of Seller
nt Sian Date(MM/DD/IYYYI Printed Name of Seller Sian Date(MM/OD/YYYYi
• BF BF U ti S GRANTEE S}-AP.P.LICATIONi Mfiri1k ERTYTAX{DE DUCTIQNS�_IDENTIFY.'ALb1TENISTHATdP@ ' i
c_S Of O 3 r z LYs'� . y� r
Troy A. Green Kathi J. Green
Buyer I-Name as ap pears on conveyance document Buyer 2-Name as appears on conveyance document
525 S Race Street 525 S Race Street ryT,$
Princeton,(Number
IN and
47670 Address
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APP trA',
YES NO CONDITION YES NO CONDITION
® ❑ 1.Will this property be the buyer's primary ® ❑ 3.Homestead GIBBON COUNTY AUDITOR
residence? Provide complete address of primary ❑ CO 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ® 5,Wind Power Device
737 E. State Street
Address(Number and Street) ❑ ® 6. Hydroelectric Power Device ,
Princeton. IN 47670 Gibson ❑ ® 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
LI 2. Does the buyer have a homestead in Indiana to be ❑ N 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ® 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including�ountyn: below. Please see instructions for more information.
SZs� 9 / n ' ST Not available in all counties.)
Adds 1 and el) �ci 97(179 3G- fa -o7 - aoY-W3. coq-ca?
City,State ZIP Code County
Primary property owner contact name E-mail
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