HomeMy WebLinkAboutHomestead_Hunter (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
gU P,REPARERWI-Kt` , mss a- 7' , ri _. ' rca
Leon C.Stone President
Prepare,-of the Sales Disclosure Farm This
226 West Broadway Street Broadway Title,Inc.
Address(Number and Street) Company
Princeton, IN 47670 (812)386-1687 bti(dmw.twcbc.com
cry,State,and VP Code Telephone Number E-mail
158EL'LTER(S]'/.GRANTQR(S] 6 ; >? '- iEC -.ems . r,r'.a:. ` -,. e.-W .^ '
Clinton M Worthington
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7300 East I ake Road
Address(Number and Street) Address(Number and Street)
Under pena ties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
aryd r�mp • e as re�w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
C7gnnazure of Seller Signature of Seller
Clinton M Worthington 5T 2i,-ao(f
Printed Name of Seller S(gn Date(MM/DD(YYrO Printed Name of Seiler Sign Date(MIf/DD/YYYY)
OVINE (S)%GRAialEE(SMAP-P.LICA laligORlifiaERTYtTAXiDEDU-CTIMOD E NMI FYAhLITEMS€THATEARPer-_k ". _,'
James A. Hunter Jacqueline A Hunter
Buyer I•!Cameos appears on conveyance document Buyer 2-Name as appears on conveyance docume,
1104 S Race Street 1104 S Race Street If Address(Number and Street)
Princeton, IN 47670 Princeton IN 47670 *---/
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF T(USE THA ' LY.,
YES NO CONDITION YES NO CONDITION s SON r\
O ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead 0Uh7).-A r
residence? Provide complete address of primary El 4.Solar Energy Heating/Cooling Sysr,rt?ipR
residence,including county: ❑ 2 5.Wind Power Device
1104 S Race Street
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 2 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 2 8.1s this property a residential rental property?
vacated for this residence? 1 f 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 io-/a -l$ -co / co i 3' ,Oa,
City,State VP Code County
Primary property owner contact name • E-mail