Homestead_Metcalf INDIANA SALES DISCLOSURE FORM SDF ID: 26 17 1109273
I}=f.R` ARER; 1' ' V ': Page 2
Darlene Huffmanaa° 't� ,t•_
Processing Team Leader
Prepare,of the SalesDisrlosure Fomi Title
3040 Presidential Drive Hallmark Title, LLC
Address(Number and Street)
Fairborn,OH 45324 Company
937-912-8902 darlenehuffman @hallmarktitle.com
Qty,State,and ZIP Code
Telephone Number
E-mail
E'SELaFtT f air( n s s, .Ira
Ralph Hoffman -
Seller I-Name as appears an conveyance document
1000 South Lincoln Street Seller 2-Name osappears on conveyance document
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
hider penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and com plleettteeejas required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
gnature b eNEi
Ralph Hoffman
Signature of Seller
/e- 5-- 77
Printed Name of Seller Sign Dare(MM/DD rt) Printed Name of Seller
1- ._ T Si•n Da(e(H.WODryrrY(
C nathan(S Metcalf
EE( aAPP1 ICi1 14� 6RlERb ER7?y 11A7C=CtEDIiCII0NS43bEN FJEY t L'?iT S YR3
Jonathan Metcalf •
Buyer l-Nome as appears on conveyance document Buyer 2-Name as appears on conveyance
:000 South Lincoln Street dOCTnt
Address(Number and Street) 1 O Z�17
Address(Number and Street)
art Branch, IN 47648
ES NO CONDITION YES NO CONDITION
a ❑ 1.Will this property be the buyer's primary ® ❑ 3. Homestead
residence? Provide complete address of primary ❑
residence,including county: 4.Solar Energy Heating/Cooling System
❑ ® 5.Wind Power Device
LAN ress(Numberand Street) ❑ ® 6. Hydroelectric Power Device
City,State ZlPCode
County ❑ ® 7.Geothermal Energy Heating/Cooling Device
] ® 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 ❑ ® 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) /� 1
op:State ZIP Code Jonathan Metcalf a(9-''7/4 -103-OC,/ ` cak
County ( L