Homestead_Krieg (8) INDIANA SALES DISCLOSURE FORM SDF ID:. Page 2
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Britany Barnes Agent
Preparer of the Sales Disclosure Form Title
226W Broadway Broadway Title, Inc
' Address(Number and Street) Company
' Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com
City.State,and ZIP Code Telephone Number E-mail
?E7SEL;11R S GRANTORS " ¢e7*r .7sate s :`" •Vi g 7 "
( )% ( )�,� t. .,_� ,.= �.�`�r�r`�y.,,, .t:'�st:¢�r�a''�t>'.�. ?��.rrca�� ,F:. �.•�'�# `d'"�`�?;
Brandi L.Vela _• John J.Vela Jr
•Seller I•Name as appears on conveyance document - • Seller 2-Name as appears on conveyance document
816E Oak St • 4- . _ 816E Oak St •
' Address(Number and Street) - Address(Number and Street)
Under:penalties of perjury Phereby certifythat 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 wi IC 6.1. L5 R lI Pr p rty Sales Disclosure Act".t.
5ignatureofSeller z ' °s r • - Si Lure of Seller �
Brand!,L.Vela •. 1 . 01 3,/076)/g John J Vela Jr Dl/d//„7nl8 4.
v .•Primed Nome of Seller It-`, .5-77. .-1-;.!...-.. -Sian Date(MM/OD/ntt) Printed Name of Seller • Sias.Date(((.NM/00/IYY11
`r AF!;BUYER(S)%GRANTEE(S)'`AFPLIGATIOIV,OR•MITP.ERTUAX'DEDUCTIONS:4 11DENTIFWAL'G°,=a4STHAtike;P.L irti `y; -•i- .� ,:
James T Krieg it rt!Li,_` Tonya L Krieg
t-
Buyer I•Aameaso`ppearsoncomeeyancedocument Baye 2 Name as appears an conveyance document
-175 E I(i umis and . 115 E IlhNumber - '
•'. Address(AUmber and S[ree[) Address(Num6ei5nE Street)
i..
• THESALES DISCLOSURE FORM MAY BE USED TO APPLY FUR CERTAIN DEDUCTIONS FOR THIS PROPERTY' ' C-THOSETHAT APPLY I ' ��,
,T 1L•`, . r• �
YES. -N0. CONDITION • , YES's'r'N0. COSDITION _ • Mow:— . I • • i
•
•® - ❑. 1;`.Will this,property be the buyer's primary a jar T® ' 3)716mesteadi
-residence? Provide complete address of primary s;❑ •'4,Solar Energy Heating/Cooling SNtem.
residence,including county: - ❑ --- r
816EtOakSt - - -.5.:Wind Power Device
--- t i - 4 l
' Address(Number and Street) - . El _p- 6, Hydroelectnc PosserDevice . T. - -
Princeton 1N'47670 , 's ' -- t•s1-e r" - -= a f
• 7,Geothermal Energy Healing/Cooking Device
Cv9 State ZIP Code ' . - : .,-�Counry '-'' '7".t.jI ,C—. 7Ii -.e, C t
rr EC + : , ® 8.4s this property a residential rental property?
• ,❑ 2:Does the buyer have a homestead in Indiana to be -
` .,vacated for this'resdence?if yes,_provide ❑ 9rWould you like to receive taxstatements•for,this
'complete address of residence being vacated, •• f property;cia a main Provide Con tact information
• includin noun below/Pleb-se SeeInstruc tions for More information,
115 E Illinois Si:including b' . - t available m all counties.) ,- `-
•:Address(NumberandStreet) �} t s, - '
Priinceton'IN;47670 .S T�I- � aeo-1a-p7-aoa-w I
City,state ZIP Code • 'County I (��
- - Primary property owner contact name 'N -,a . E-mail, ��