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Homestead_Willis (5)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 „D.P,RE$ARER}:_r .- . - _. --n----. nA•- _ ._ ,. °f; r ; ;_ _ ..1=,-«° :a Roman Ricker Attorney Preparer of the Sales Disclosure Porte Title 219 N.Hart St.. P.O. Box 13 Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 nickerehpk-law.com Ciry,State,and ZIP Code Telephone Number E-mail FE SELILE (SAGRANilORM 777.;r _:-A ; :17917.7-7 r' ^Z '` . =..• Judy Ann Burroughs-McCord Seller!-Name as appears on conveyance document Seiler 2-Nome as appears on conveyance document 1867 Outer l ake Road Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an r complete as requ' -d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". igna re IfShce: I Signature of Seller Judy Ann Burroughs-McCord 5/30/2018 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/UDMITl ESBUYMS)/T.GRA<\tTEE(S)—•APP,LI'CAT/IORAEOR;PAOP,E irr TAMD.EDU 11.10 NS fDEN ill 1$rALL ITIEMS$TH'WAP I7Li M Troy D.Willis MB yell-N Willis s ryeN.Name as appears on conveyance document Michelle L.Wi appears on conveyance document 449 N.Spore Drive 449 N. Spore Drive 4)1ry P Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 " r 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 1J •to (7) ❑ 1.Will this property be the buyer's primary EI ❑ 3.Homestead .Y residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device 1867 Outer I ake Road Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 ❑ [ 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County p ❑ 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. 449 N.Spore Drive Not available in all counties.) Address(Number and Street) org-/?-Of Jod - 000. .55j-• 6077 Princeton, IN 47670 Gibson Troy D.&Michella L.Willis City.State ZIPCode County — Primary property owner contact name E-mail