Homestead_Dyer (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Patti Kolb Closing Manager
Preparer of the Salts Disclosure Farm Tide
226 W. Broadway St. Broadway Title. Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 Datti.bti(a)mw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
iE*SELLER(SI/.GRAN;TORIS)? � ? v y `c41r , - Minfaaa ta -,14,11 S-2
David F I I yd as Per Ren of the Estate of Charles E I loyd Jr
Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
Ion N Crrvt6 re_C
Address(Number and Street) Address(Number and Street)
f; nc e-fun (A) L(7to 7o
(�
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and`c`o to as re sired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller // A/� O Signature of Seller
David E I loyd Personal Representative if Z /
Printed Name of Seller Sign Date(MM/bD/YYYY) Printed Name of Seller S{qn Date(MM/DD/Y'YY)
EaBUYER(S)/GRANT:tEts) APTiLIGATION,EOR;PROLERT M,biED'l1CT(ONS„IDE irrinEMI,'ITEMS;TAAfflAPP,L-Y
James Alan Dyer Stephanie Eileen Dyer
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1.101 S. Se Art;'na/y 54 (oto/ S. S¢mrl-nartr. SL,
Address(Number and Street) Mikes,(Number and Street)
Print Ghri (rt) 4- 7o N('. re-ef-t., • IN 117a,70
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 906
❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead Gio
residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Hea s r`.' - System �/'
residence ,including county: C i
c0 W Mate-44.•tSC1 ❑ ❑ 5.Wind Power Device OGNt���,
ddress(Number and Street) - ❑ ❑ 6. Hydroelectric Power Device TY
fin( G('vv. (/'1 Cf7670 6r1aSc>� ❑ ❑ 7.Geothermal Energy Heating/Coop ice
Ci ,State ZIP Code County qq
] ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8.Is this property a residential rental propetty?
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 county: below.Please see instructions for more information.
I otll t 5 . SE44,7 rvar,t S4- Not available in all counties)
Address(Number and Street)
tr-r.ctk - (t3 117610 6/Lisa-,- 210-//-/3 -aoil 093,54,R OR g'
City,State ZIP Code County
Primary property owner contact name E-mail