Homestead_Lafoe (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
5D?PREP;ARERR -T-- T . ,- ---- ... , - .--Ti
Patti Kolb Closing Manager
) Preparer of the Sales Disclosure Form Title
226 W Broadway St Broadway Title, Inc.
Address(Number and Street) Company
• Princeton, IN 47670 812-386-1687 patti.bti(( mw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
,rocs L'ER(Sj(GRAN)TOR(S))• -.. — — --- _— - - j
F Misty D Owens
ISeller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4 103 F Garfield Ave
n Address(Number and Street) Address(Number and Street)
`(
■ Princeton IN 47670
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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".
`\iNtilot_ `1b - In we,,,t,, I - a - i V
I Signature of Seller lc Signature of Seller
Misty D Owens
Printed Name ofSeller Sian Date(MM/DD/YYYI) Printed Name of Seller Sian Date(MM/DD/YYYYI
J i�BUYER(S)7/,GRANITEE(S)E--JAPPJLIGAT(0NIFQR2P.ROPERTIYLTAX<DEDUCTIONS IDENTI74AL IITIE Al - 'PP,1;Y,/
-.-
y.
Y Jessica J. Lafoe d
•• Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document^-11
i. 3452E 50 N ,/qN
Address(Number and Street) Address(Number and Street) t78 20/
Princeton, IN 47670
ii THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. OR
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence,including county:
j 109E Garfield Ave ❑ la 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 ❑ 0 7, Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
• ❑ ❑ 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 ❑ 0 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)
z&., aa -jF - Avo / - co a , SGy-0ag
City,State ZIP Code County
k Primary property owner contact name E-mail
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