Homestead_Martin INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
D. PREPARER
Kathy Masterson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 kathy@swinland.com
City,State,and ZIP Code - Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Home Point Financial Corporation
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4849 Greenville Ave., Suite 800
Address(Number and Street) Address(Number and Street)
Dallas,TX 75206
City,State,and ZIP Code City,State,and ZIP Code
Telephone Number E-mail Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
7/14/2017 7/14/2017
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMSIjhAT APPLY
k1Nf:O3 NO38t9
CrtesA. 'imeas�
' Be B ame as appears on conveyance document Buyer 2-Name as appears on conveyance ocument "il
1559 S Old State Rd 65
Address(Number and Street) Address(Number and Street) /t 02 0 g If 11
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION /Y
r ❑ 1. Will this property be the buyer's primary / ❑ 3. Homestead
residence? Provide complete address of primary . y r eating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
106 S Main St.
Address(Number and Street) ❑ 9 6. Hydroelectric Power Device
`Patoka, IN 47666 I Gibson' ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 0 8. Is this property a residential rental property?
❑ N9. 2. Does the buyer have a homestead in Indiana to be ❑ 9 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
.2G, -o`!- As- _look _coo. 077--0J-o
City,State ZIP Code County Primary property owner contact name E-mail