Homestead_Duval INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - - -- - : F•,•Britany Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com
Cig,state,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) - ' '
Holly Heichelbech • Scott Lee
Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2797 S 950 E
Address(Number and Street) Address(Number and Street)
Oakland City,IN 47660
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as required by law,and is prepared in accordance with -1.1-5.5,"Real Property Sales Disclosure Act".
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Signature o Iler Signature a/Seller
Holly Heichelbech Scott Lee
Printed Name of Seller Sian Date(MM/OD/YYYY) Punted Name afSeller Sian Date(MM/O0/nY11
-F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL O€XOpSE Ty%PPLY. 204?
YES NO CONDITION I YES NO CONDITION
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Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead �`)//4/)—
residence? Provide complete address of primary ❑ 2 4.Solar Energy Heating/Cootf7i y�stem
residence,including county: ❑ ❑ 5.Wind Power Device -OR
730 W Oak St
Address(Number and Street) ❑ 12 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson
❑ E 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ p 2. Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ I9 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)
City,State ZIP Code County
24-03-i3-'YD`/ Co /. ig-5 007
Primary property owner contact name E-mail